MARY JANE HAMMACK NP NPI 1265615959

NPI Information

  • NPI: 1265615959
  • Provider Name: MARY JANE HAMMACK, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4700 WATERS AVE
    SAVANNAH, GA
    ZIP 31404
  • Phone: (912) 350-1316

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NPI Details

Mary Jane Hammack, NP is a family nurse practitioner in Savannah, GA. Mary Jane Hammack, NP NPI is 1265615959. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4700 WATERS AVE
SAVANNAH, GA
ZIP 31404-220
Phone: (912) 350-1316
Fax: (912) 350-2156

The NPI 1265615959 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/17/2007 and was last updated on 7/2/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse Practitioner5387PKENTUCKYNo
2363LF0000XNurse PractitionerFamilyRN166815GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1NP2728MEDICAIDSOUTH CAROLINA
2202I509510MEDICARE PINGEORGIA
3003145582AMEDICAIDGEORGIA
4P01312094OTHERGEORGIARAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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