DR. JEREMY JOSEPH HANLON (DMD) – Oral and Maxillofacial Surgery (Dentist), NPI 1881949766

DR. JEREMY JOSEPH HANLON (DMD) is a healthcare provider. based in Ft gordon, Georgia. specializing in ORAL SURGERY. They hold the professional credentials DMD. They hold a License No. DS039115 (PA). The NPI Number for DR. JEREMY JOSEPH HANLON (DMD) is 1881949766

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEREMY JOSEPH HANLON (DMD)
NPI
1881949766
Phone
(706) 787-6927
Address
BLDG 38717 38TH STREET
Enumeration Date
17 July 2012
Last Update Date
11 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8142380587
Graduation Year
2012 (14 years ago)
PAC ID
9032331517
Group Practice PAC ID
9436050911
Professional Enrollment ID
I20230505001119
Address ID
PA168014820ST200XXAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:13State licenses:1Digital endpointsOther names

76 ORAL SURGERY in GA

Provider Addresses for DR. JEREMY JOSEPH HANLON (DMD)

  • BLDG 38717 38TH STREET

    USA DENTAC

    FT GORDON, GA 309055660

    Phone: (706) 787-6927

    Fax: (706) 787-2082

    Type: Mailing

  • 200 W BEAVER AVE STE 100

    STATE COLLEGE, PA 168014820

    Phone: (800) 446-5680

    Type: Mailing

  • 2028 LITHO PL

    FAYETTEVILLE, NC 283042537

    Phone: (910) 689-1475

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $117.

Total Amount is formed as General ($117) + Research ($0) + Ownership ($0) = $117.

Last reported payment date: 2023-09-20 • Largest payer in this snapshot: Straumann USA LLC ($117).

Total Amount

$117

General + Research + Ownership

Payments

1

Total payment records

General Amount

$117

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Straumann USA LLC$117
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-05-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230505001119IOral SurgeryPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99203New patient office or other outpatient visit, 30-44 minutes6666$0
View full utilization report →

Insurance plans in this area (ZIP 30905)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436050911View full group profile
NameSpecialtyState
Maxillofacial Surgery, Oral SurgeryPA

Reviews

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Frequently asked questions

Can I verify DR. JEREMY JOSEPH HANLON (DMD) with an NPI only?
You can start verification with NPI 1881949766 for DR. JEREMY JOSEPH HANLON (DMD), then check state licensing separately.
Does the file indicate DR. JEREMY JOSEPH HANLON (DMD) is practicing under active NPI?
Directory data currently reports DR. JEREMY JOSEPH HANLON (DMD) as active.
What taxonomy line describes DR. JEREMY JOSEPH HANLON (DMD)?
For research purposes, treat DR. JEREMY JOSEPH HANLON (DMD) as Oral and Maxillofacial Surgery (Dentist) in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DR. JEREMY JOSEPH HANLON (DMD) on a map?
Expect Ft Gordon, Georgia as a primary anchor for DR. JEREMY JOSEPH HANLON (DMD) unless the record lists multiple sites.
Why does DR. JEREMY JOSEPH HANLON (DMD) have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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