Individual provider Active NPI

Johanna Bailey Von Hofe, M.D.

  • Reproductive Endocrinology Physician
  • Greenville, SC
National Provider Identifier
1235496076
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
83111 Issued in SC
Practice address
890 W Faris Rd Ste 470
Greenville, SC 29605-4281
Phone
(864) 455-1600
Fax
(864) 455-3095
NPI assigned
Apr 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X 83111 SC Primary

Addresses

Primary practice location

890 W Faris Rd Ste 470
Greenville, SC 29605-4281

Mailing address

1 Independence PT Ste 212
Greenville, SC 29615-4536
Phone (864) 797-6247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160616000784 AL Practitioner - Obstetrics/Gynecology 3173775376 Reassigns benefits to 1 organization
I20191028002010 SC Practitioner - Obstetrics/Gynecology 3173775376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1120 Grove Rd
Greenville, SC 29605-4656
Phone (864) 455-8802

210 Freeman Farm Rd
Duncan, SC 29334-9398
Phone (864) 968-5123

890 W Faris Rd
Greenville, SC 29605-4281

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
83111SCMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Jul 1, 2016 Accepting new patients
Prisma Health University Medical Group Obstetrics & Gynecology Current Accepting new patients
Prisma Health University Medical Group CurrentSince Sep 23, 2019 Accepting new patients
Prisma Health University Medical Group Obstetrics & Gynecology CurrentSince Sep 23, 2019 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

890 W Faris Rd
Ste 470
Greenville, SC 29605
Phone (864) 455-1600

1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306

Interoperability endpoints

  • Direct secure messaging: jvonhofe266948@direct.ghs.myhfn.org

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1235496076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PT STE 212",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154536",
            "telephone_number": "864-797-6247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 W FARIS RD STE 470",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054281",
            "telephone_number": "864-455-1600",
            "fax_number": "864-455-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VON HOFE",
        "first_name": "JOHANNA",
        "middle_name": "BAILEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-18",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "SC",
            "license": "83111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.