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

Mary Hannum

Individual provider Physician Assistant · NPI 1205620804

Mary Hannum is a Physician Assistant in Nashville, Tennessee. Qualified in 2024, 2 years ago. Practices with Vanderbilt University Medical Center, a 3,466-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
2
Licensed in
TN
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

3601 The Vanderbilt Clinic
Nashville, TN 37232-0004
Phone: (615) 322-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1211 Medical Center Dr, Nashville, TN 37232-0004 — (615) 322-5000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6448 (TN)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1205620804
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 8, 2025
Last updated in NPPESJuly 15, 2025
Certification dateJuly 15, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Vanderbilt University Medical Center — 3466 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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