Individual provider Active NPI

Joseph Shepherd Cofer, PA-C

  • Physician Assistant
  • Supply, NC
National Provider Identifier
1194711531
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-03143 Issued in 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
Last updated
Oct 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210625001823 TX Practitioner - Physician Assistant 8123292331 Reassigns benefits to 1 organization

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
Orthopaedic San Antonio PLLCGroup PAC ID 7012286438, 29 clinicians

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

LicenseStateTypeSpecialty
PA14640TXMDPhysician Assistant
50.002274OHMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew 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.

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": "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

Sources for this page

Verify at the official NPI Registry.