Active NPI
Edward Morris Hoffman, M.D.
- Internal Medicine Physician
- Richmond Hill, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 056565
- Practice address
- 89 Interchange Dr
Richmond Hill, GA 31324-7661 - Phone
- (912) 527-5301
- Fax
- (912) 756-4740
- NPI assigned
- Aug 16, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 056565 | GA | Primary |
Addresses
Primary practice location
89 Interchange Dr
Richmond Hill, GA 31324-7661
Mailing address
PO Box 15849
Savannah, GA 31416-2549
Phone (912) 527-5301
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 848476628B | Medicaid | GA | |
| G56565 | Medicaid | SC | |
| P00253005 | Other | GA | RR MEDICARE |
| 848476628A | Medicaid | GA |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050913000689 | GA | Practitioner - Internal Medicine | 5991742009 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Icahn School of Medicine at Mount Sinai, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Privia Medical Group of Georgia LLC
Practice addresses (Care Compare)
101 Yorktown Dr
Fayetteville, GA 30214-1578
101 Yorktown Dr
Suite 100
Fayetteville, GA 30214-7663
Phone (770) 460-4285
1326 Eisenhower Dr
Savannah, GA 31406-3928
Hospital & facility affiliations
- St Joseph'S/ Candler Home Healthcare
- St Joseph'S Hospital - Savannah
- Candler Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056565 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group of Georgia LLC | Internal Medicine | Current | Accepting new patients |
| Privia Medical Group of Georgia LLC | Internal Medicine | Current | Accepting new patients |
| New York Downtown Medical Associates | Internal Medicine | Past | Accepting new patients |
| Ny Downtown Faculty Practice Opd | Past | Accepting new patients |
Locations
101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285
89 Interchange Dr
Richmond Hill, GA 31324
Phone (912) 527-5301
1326 Eisenhower Dr
#1
Savannah, GA 31406
Phone (912) 691-4100
1326 Eisenhower Dr
Bldg 2
Savannah, GA 31406
Phone (912) 354-5543
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
- edward.hoffman.1@8042.direct.athenahealth.com
- edwardhoffman@scmgllc.allscriptsdirect.net
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Fayetteville, GA
- NPI 1013313857
GA, Internal Medicine
-
- Internal Medicine Physician
- Savannah, GA
- NPI 1356907273
Internal Medicine
-
- Internal Medicine Physician
- New York, NY
- NPI 1427095652
Internal Medicine
-
- Family Medicine Physician
- New York, NY
- NPI 1396780581
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Hinesville, GA
- NPI 1992799449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472774400000",
"number": "1154313229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15849",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314162549",
"telephone_number": "912-527-5301",
"fax_number": "912-756-4740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "89 INTERCHANGE DR",
"city": "RICHMOND HILL",
"state": "GA",
"postal_code": "313247661",
"telephone_number": "912-527-5301",
"fax_number": "912-756-4740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMAN",
"first_name": "EDWARD",
"middle_name": "MORRIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-16",
"last_updated": "2016-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "056565",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "848476628B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G56565",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00253005",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "848476628A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond Hill, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.