NPIMap

Individual provider Active NPI

Jacob Ross Hovis, PA

  • Physician Assistant
  • Morganton, NC
National Provider Identifier
1407177439
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-02448 Issued in NC
Practice address
301 Linville St
Morganton, NC 28655-7206
Phone
(828) 584-2481
Fax
(828) 584-8371
NPI assigned
Jun 14, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-02448 NC Primary

Addresses

Primary practice location

301 Linville St
Morganton, NC 28655-7206

Mailing address

301 Linville St
Morganton, NC 28655-7206
Phone (828) 584-2481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100924000308 NC Practitioner - Physician Assistant 6204968126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

301 Linville St
Morganton, NC 28655-7206
Phone (828) 584-2481

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-02448NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Healthcare Medical Group, Inc CurrentSince Feb 17, 2020 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince Feb 17, 2020 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Past Accepting new patients

Locations

301 Linville St
Morganton, NC 28655
Phone (828) 580-1400

Interoperability endpoints

  • Direct secure messaging: jhovis671005@direct.unc.nchie.net

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.

Hospital & facility affiliations 5

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": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1407177439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LINVILLE ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286557206",
            "telephone_number": "828-584-2481",
            "fax_number": "828-584-8371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 LINVILLE ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286557206",
            "telephone_number": "828-584-2481",
            "fax_number": "828-584-8371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOVIS",
        "first_name": "JACOB",
        "middle_name": "ROSS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-14",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-02448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

Verify at the official NPI Registry.