Active NPI
Mark Hoerman, MD
- Pulmonary Disease Physician
- Vidalia, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 070272
- 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, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Regional Primary Care Corporation | Current | Accepting new patients | |
| Meadows Multispecialty Associates, LLC | Current | 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
- mark.hoerman@hca5.eclinicaldirectplus.com
- mark.hoerman@mrmc.gadirect.net
- 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.
-
- Internal Medicine Physician
- Lyons, GA
- NPI 1952990533
-
- Multi-Specialty Clinic/Center
- Vidalia, GA
- NPI 1467568907
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Jeff Davis Hospital
- Critical Access Hospital
- Hazlehurst, GA
- NPI 1912902263
-
dba Community Hospice
- Community Based Hospice Care Agency
- Vidalia, GA
- NPI 1497832844
-
dba appling healthcare system
- General Acute Care Hospital
- Baxley, GA
- NPI 1861615304
-
- General Acute Care Hospital
- Vidalia, GA
- NPI 1790376564
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.