Provider Demographics
NPI:1689807497
Name:MATHEWS, HANNAH S (MHS, PA-C)
Entity Type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:S
Last Name:MATHEWS
Suffix:
Gender:F
Credentials:MHS, PA-C
Other - Prefix:MISS
Other - First Name:HANNAH
Other - Middle Name:S
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:PO BOX 602373
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-2373
Mailing Address - Country:US
Mailing Address - Phone:828-250-2833
Mailing Address - Fax:828-651-6559
Practice Address - Street 1:1 HOSPITAL DR
Practice Address - Street 2:SUITE 4200
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4550
Practice Address - Country:US
Practice Address - Phone:828-213-1994
Practice Address - Fax:828-213-1999
Is Sole Proprietor?:No
Enumeration Date:2009-08-27
Last Update Date:2016-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363AS0400X
NC0010-02481363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCNCJ812D811Medicare PIN
NC235016DMedicare PIN