Individual provider Active NPI

Maci E. Hobby, P.A.

  • Physician Assistant
  • Savannah, GA
National Provider Identifier
1083018667
Registry record updated Dec 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
007347 Issued in GA
Practice address
5 Executive Cir
Savannah, GA 31406-3345
Phone
(912) 691-1533
Fax
(912) 691-1953
NPI assigned
Oct 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 007347 GA Primary

Addresses

Primary practice location

5 Executive Cir
Savannah, GA 31406-3345

Mailing address

820 Prudential Dr Ste 713
Jacksonville, FL 32207-8209
Phone (904) 396-5682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150105001340 GA Practitioner - Physician Assistant 4789907460 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1115 Lexington Ave
Savannah, GA 31404-5502
Phone (912) 354-4813

3025 Shrine Rd
Suite 450
Brunswick, GA 31520-4787
Phone (912) 264-6133

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
7347GAMDPediatric Physical Therapist
007347GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology and Hypertension Medical Associates PC CurrentSince Jun 23, 2023 Accepting new patients
Marshes Medical Diagnostic Clinic, PC Current Accepting new patients
Nephrology and Hypertension Medical Associates PC Current Accepting new patients
Advanced Pediatric Specialists LLC Past Accepting new patients

Locations

2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079

3025 Shrine Rd
Ste 450
Brunswick, GA 31520
Phone (912) 264-4613

475 Gateway Center Blvd
Brunswick, GA 31525
Phone (912) 265-0533

53 Scranton Connector
Brunswick, GA 31525
Phone (912) 264-8657

2930 Springdale Rd
Brunswick, GA 31520
Phone (912) 267-1507

865 S 1st St
Jesup, GA 31545
Phone (912) 427-6811

2040 Dan Proctor Dr
Ste 230
Saint Marys, GA 31558
Phone (912) 576-6391

2714 Osborne Rd
Saint Marys, GA 31558
Phone (912) 214-2806

2000 Dan Proctor Dr
Saint Marys, GA 31558
Phone (912) 576-6160

1115 Lexington Ave
Savannah, GA 31404
Phone (912) 354-4813

5353 Reynolds St
Savannah, GA 31405
Phone (912) 692-6172

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545868800000",
    "number": "1083018667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 PRUDENTIAL DR STE 713",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078209",
            "telephone_number": "904-396-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 EXECUTIVE CIR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063345",
            "telephone_number": "912-691-1533",
            "fax_number": "912-691-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOBBY",
        "first_name": "MACI",
        "middle_name": "E.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-10",
        "last_updated": "2018-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "007347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.