Individual provider Active NPI

Edward Morris Hoffman, M.D.

  • Internal Medicine Physician
  • Richmond Hill, GA
National Provider Identifier
1154313229
Registry record updated Sep 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
056565 Issued in GA
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

Updated by the provider on Sep 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
848476628BMedicaidGA
G56565MedicaidSC
P00253005OtherGARR MEDICARE
848476628AMedicaidGA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 454 clinicians

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 Home health agency, Hinesville, GA, CCN 117082
  • St Joseph'S Hospital - Savannah Hospital, Savannah, GA, CCN 110043
  • Candler Hospital Hospital, Savannah, GA, CCN 110024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
056565GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC Internal Medicine CurrentSince May 1, 2019 Accepting new patients
Privia Medical Group of Georgia LLC Internal Medicine CurrentSince May 1, 2019 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

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: edward.hoffman.1@8042.direct.athenahealth.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.