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

Phyllis Decarnelle Hannah, MD

Individual provider Internal Medicine Physician · NPI 1740259407

Phyllis Decarnelle Hannah, MD is an Internal Medicine Physician in Ada, Oklahoma. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
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

1921 Stonecipher Dr
Ada, OK 74820-3439
Phone: (580) 436-3980
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MO - 10627 (MO)

Record details

NPI number1740259407
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 15, 2006
Last updated in NPPESJuly 21, 2022
Mailing address902 E Lincoln Rd, Idabel, OK 74745-7337

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