Provider Demographics
NPI:1780861260
Name:HANOWELL, ALISON SAKIKO (MD)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:SAKIKO
Last Name:HANOWELL
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5611 CHESTNUT HILL RD
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30606-5317
Mailing Address - Country:US
Mailing Address - Phone:404-783-5998
Mailing Address - Fax:
Practice Address - Street 1:5611 CHESTNUT HILL RD
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-5317
Practice Address - Country:US
Practice Address - Phone:404-783-5998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-27
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA064641207L00000X, 207L00000X, 208VP0014X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA202I056114Medicare PIN
GA202I056588Medicare PIN
GAP01750625Medicare PIN
GAP01157795Medicare PIN