Active NPI
Mary B Hobbs, M.D.
- Pediatrics Physician
- Anderson, SC
National Provider Identifier
1326099110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 23987
- Practice address
- 705 N Fant St
Anderson, SC 29621-5705 - Phone
- (864) 512-7034
- Fax
- (864) 225-0837
- NPI assigned
- May 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 23987 | SC | Primary |
Addresses
Primary practice location
705 N Fant St
Anderson, SC 29621-5705
Mailing address
PO Box 100174
Columbia, SC 29202-3174
Phone (864) 512-7034
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T80560 | Medicaid | SC | |
| 306947105 | Other | CHAMPUS HEALTHCARE | |
| 0568693 | Other | HEALTHSOURCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anmed Health | Past | Accepting new patients |
Interoperability endpoints
- mhobbs7929@direct.anmedhealth.net
Organizations & group practices 1
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.
-
- Gastroenterology Physician
- Anderson, SC
- NPI 1861761090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672876800000",
"number": "1326099110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100174",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292023174",
"telephone_number": "864-512-7034",
"fax_number": "864-225-0837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 N FANT ST",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296215705",
"telephone_number": "864-512-7034",
"fax_number": "864-225-0837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOBBS",
"first_name": "MARY",
"middle_name": "B",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-15",
"last_updated": "2023-01-05",
"certification_date": "2023-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "23987",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "T80560",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS HEALTHCARE",
"identifier": "306947105",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHSOURCE",
"identifier": "0568693",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anderson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.