Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kathleen Lee Hannan, MD

Individual provider Diagnostic Radiology Physician · NPI 1104870724

Dr. Kathleen Lee Hannan, MD is a Diagnostic Radiology in Thomasville, Georgia. Qualified in 1985, 41 years ago. Practices with Simonmed Imaging Florida LLC, a 299-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
41
Licensed in
GA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

915 Gordon Ave
Thomasville, GA 31792-6614
Phone: (229) 228-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 056572 (GA)

Record details

NPI number1104870724
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 19, 2006
Last updated in NPPESMarch 6, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Group practice Simonmed Imaging Florida Llc — 299 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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