Active NPI
Joseph Shepherd Cofer, PA-C
- Physician Assistant
- Supply, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-03143
- Practice address
- 20 Medical Campus Dr NW Ste 104
Supply, NC 28462-4094 - Phone
- (910) 575-5800
- Fax
- (910) 579-1174
- NPI assigned
- Sep 21, 2005
- Last updated
- Oct 6, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-03143 | NC | Primary |
| Physician Assistant | 363A00000X | PA14640 | TX | |
| Surgical Physician Assistant | 363AS0400X | 50.002274 | OH |
Addresses
Primary practice location
20 Medical Campus Dr NW Ste 104
Supply, NC 28462-4094
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Other practice location 1
1501 Houston St
Castroville, TX 78009-2739
Phone (210) 705-5060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11212 State Hwy 151
Suite 310
San Antonio, TX 78251-4502
Phone (210) 705-5060
2833 Babcock Rd
San Antonio, TX 78229-4850
2833 Babcock Rd
Towe II
San Antonio, TX 78229-5390
Phone (210) 705-5060
423 Treeline Park
Suite 350
San Antonio, TX 78209-2078
Phone (210) 705-5060
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA14640 | TX | MD | Physician Assistant |
| 50.002274 | OH | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| R a Alvarado Medical PLLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Orthopaedic San Antonio
- Orthopaedic Surgery Physician
- San Antonio, TX
- NPI 1750815809
-
dba Advanced Pain Relief Institute
- Interventional Pain Medicine Physician
- San Antonio, TX
- NPI 1992117717
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CHRISTUS Santa Rosa Hospital
- General Acute Care Hospital
- San Antonio, TX
- NPI 1194787218
-
dba Baptist Medical Center
- General Acute Care Hospital
- San Antonio, TX
- NPI 1598744856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791244800000",
"number": "1194711531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 MEDICAL CAMPUS DR NW STE 104",
"city": "SUPPLY",
"state": "NC",
"postal_code": "284624094",
"telephone_number": "910-575-5800",
"fax_number": "910-579-1174"
}
],
"practiceLocations": [
{
"address_1": "1501 Houston St",
"address_purpose": "LOCATION",
"city": "Castroville",
"state": "TX",
"postal_code": "780092739",
"country_code": "US",
"telephone_number": "210-705-5060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COFER",
"first_name": "JOSEPH",
"middle_name": "SHEPHERD",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-21",
"last_updated": "2026-10-06",
"certification_date": "2026-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-03143",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA14640",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "OH",
"license": "50.002274",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Supply, NC
- Coastal Horizons Center Inc.
- Coastal Horizonscenter, Inc
- Coastal Southeastern United Care LLC (Coastal Southeastern United Care)
- Coastal Spine Institute PC
- Coastline Volunteer Rescue Squad
- Ashley Day Cook, LCMHCA
- Courageous Impact Advocacy & Support
- Richard Denton Crane, M.D.
- Creative Hands Occupational Therapy
- Mary Rudd Crichton, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; 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.