Mark Hoerman, MD

Key facts

NPI

1366440984

Entity type

Individual (NPI type 1)

Primary specialty

Pulmonary Disease Physician 207RP1001X

License

070272 (GA)

Practice address

1811 Edwina Dr
Vidalia, GA 30474-8963

Phone

(912) 538-8105

Fax

(912) 538-8109

NPI assigned

Jul 8, 2005

Sex

Male

Sole proprietor

No

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 and National Provider Directory roles.

• Meadows Multispecialty Associates, LLC Internal Medicine Physician · Lyons, GA · NPI 1952990533
  Medicare reassignment Care Compare group NPD GA
• Southeast Regional Primary Care Corporation Multi-Specialty Clinic/Center · Vidalia, GA · NPI 1467568907
  NPD

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospital Authority of Jeff Davis County Georgia Critical Access Hospital · Hazlehurst, GA · NPI 1912902263
  Care Compare affiliation Hospital
• Southern Community Hospice, Inc. Community Based Hospice Care Agency · Vidalia, GA · NPI 1497832844
  Care Compare affiliation Hospice
• The Baxley and Appling County Hospital Authority General Acute Care Hospital · Baxley, GA · NPI 1861615304
  Care Compare affiliation Hospital
• Vidalia Health Services, LLC General Acute Care Hospital · Vidalia, GA · NPI 1790376564
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Pulmonary Disease
Also: Internal Medicine

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Meadows Multispecialty Associates LLC (28 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Hospice Hospice · Vidalia, GA · CCN 111576
• Memorial Health Meadows Hospital Hospital · Vidalia, GA · CCN 110128
• Jeff Davis Hospital Hospital · Hazlehurst, GA · CCN 111333
• Appling Healthcare Hospital · Baxley, GA · CCN 110071

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100 (individual)

Promoting interoperability

100

Improvement activities

40

Medicare participation

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

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

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 17, 2019.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2849327",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "P55286567",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI HMO",
            "identifier": "71847",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003138585A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2017338",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2K1057",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vidalia, GA

• Christopher Brandon Hensley, RN, BSN
• J. Chris Higgins, MD
• Amanda Shai Hobbs, NP-C
• George Lindsey Hodges
• Willene Hodges, RPH
• Kurt Patrick Hofmann, M.D.
• Cynthia Kaye Holton, NP-C
• Heather Hooks
• Marion Craig Horton, M.D.
• Timothy Caron Horton, MD

All providers in Vidalia, GA · Pulmonary Disease Physician in Georgia