Joseph Shepherd Cofer, PA-C
Individual provider Active NPI Physician Assistant · Supply, NC
NPI 1194711531 · NPPES record last updated Aug 7, 2026
Key facts
- NPI
- 1194711531
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 0010-03143 (NC)
- 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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Orthopaedic San Antonio PLLC
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
- Christus Santa Rosa Medical Center
- Baptist Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210625001823 | TX | Practitioner - Physician Assistant | 8123292331 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50.002274 | OH | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| R a Alvarado Medical PLLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-03143 | NC | Yes |
| 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
Other providers in Supply, NC
- Coastal Horizons Center Inc.
- Coastal Horizonscenter, Inc
- Coastal Southeastern United Care LLC
- Coastal Spine Institute PC
- Coastline Volunteer Rescue Squad
- Ashley Day Cook
- Courageous Impact Advocacy & Support
- Richard Denton Crane
- Creative Hands Occupational Therapy
- Mary Rudd Crichton
All providers in Supply, NC · Physician Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.