Individual provider Active NPI

Mark Hoerman, MD

  • Pulmonary Disease Physician
  • Vidalia, GA
National Provider Identifier
1366440984
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
070272 Issued in GA
Practice address
1811 Edwina Dr
Vidalia, GA 30474-8963
Phone
(912) 538-8105
Fax
(912) 538-8109
NPI assigned
Jul 8, 2005
Last updated
Oct 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 070272 GA
Pulmonary Disease Physician 207RP1001X 070272 GA Primary

Addresses

Primary practice location

1811 Edwina Dr
Vidalia, GA 30474-8963

Mailing address

PO Box 407
Vidalia, GA 30475-0407
Phone (912) 537-4986

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20131030001871 GA Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 3870780026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meadows Multispecialty Associates LLCGroup PAC ID 6002223484, 28 clinicians

Practice addresses (Care Compare)

1811 Edwina Dr
Vidalia, GA 30474-8963
Phone (912) 583-9977

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Regional Primary Care Corporation Current Accepting new patients
Meadows Multispecialty Associates, LLC CurrentSince May 1, 2021 Accepting new patients

Locations

104 Fairview Park Dr
Dublin, GA 31021
Phone (478) 272-1366

1707 Meadows Ln
Ste A
Vidalia, GA 30474
Phone (912) 538-0003

1811 Edwina Dr
Vidalia, GA 30474
Phone (912) 537-9779

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: mark.hoerman@hca5.eclinicaldirectplus.com
  • Direct secure messaging: mark.hoerman@mrmc.gadirect.net
  • Direct secure messaging: mark.hoerman@srpcc.gadirect.net

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 4

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1366440984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 407",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304750407",
            "telephone_number": "912-537-4986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 EDWINA DR",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304748963",
            "telephone_number": "912-538-8105",
            "fax_number": "912-538-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOERMAN",
        "first_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "GA",
            "license": "070272",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "070272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vidalia, GA

Sources for this page

Verify at the official NPI Registry.