Individual ProviderShannon HatmakerNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice AddressSc House Calls Inc, 111 Doctors Circle, Columbia, SC 29203(800) 491-0909PECOS EnrollmentBased on the most recent information from CMS, provider Shannon Hatmaker is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1558145722Provider TypeIndividualFull NameHatmaker, ShannonCredentialAPRNGenderFemaleSole ProprietorNoEnumeration Date8/21/2023Last Updated10/20/2023Contact InformationPractice LocationPractice AddressSc House Calls Inc, 111 Doctors Circle, Columbia, SC 29203Phone(800) 491-0909FaxUnlisted FaxMailing LocationMailing AddressSc House Calls Inc, 111 Doctors Circle, Columbia, SC 29203Phone(800) 491-0909FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseGAA-NP001604GeorgiaCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense34445Tennessee