Active NPI
Kurt Patrick Hofmann, M.D.
- Surgery Physician
- Vidalia, GA
National Provider Identifier
1437145208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 51197
- Practice address
- 1811 Edwina Dr
Vidalia, GA 30474-8963 - Phone
- (912) 538-9977
- NPI assigned
- Sep 27, 2005
- Last updated
- Mar 7, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 51197 | GA | Primary |
Addresses
Primary practice location
1811 Edwina Dr
Vidalia, GA 30474-8963
Mailing address
PO Box 407
Vidalia, GA 30475-0407
Phone (912) 538-9977
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000945106D | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 90.94 of 100
- Quality
- 76.86
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51197 | GA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Regional Primary Care Corporation | Current | Accepting new patients | |
| Pocono Ambulatory Surgery Center LTD | Past | Accepting new patients | |
| Kurt P Hofmann MD LLC | Past | Accepting new patients | |
| Vidalia ENT Associates, LLC | Past | Accepting new patients |
Interoperability endpoints
- kurt.hofmann@hca5.eclinicaldirectplus.com
- kurt.hofmann@srpcc.gadirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Vidalia, GA
- NPI 1669555934
-
- Multi-Specialty Clinic/Center
- Vidalia, GA
- NPI 1467568907
-
- Otolaryngology Physician
- Vidalia, GA
- NPI 1689851198
-
- Ambulatory Surgical Clinic/Center
- Stroudsburg, PA
- NPI 1265435176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1437145208",
"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": "912-538-9977",
"fax_number": "912-538-0770"
},
{
"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": "912-538-9977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFMANN",
"first_name": "KURT",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-27",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GA",
"license": "51197",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000945106D",
"state": "GA"
}
],
"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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.