Individual provider Active NPI

John A Hoffman, MD

  • Family Medicine Physician
  • Appomattox, VA
National Provider Identifier
1457335689
Registry record updated Aug 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101041287 Issued in VA
Practice address
131 Jones St
Appomattox, VA 24522-9830
Phone
(434) 332-7367
Fax
(434) 332-1757
NPI assigned
Dec 1, 2005
Last updated
Aug 13, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101041287 VA Primary

Addresses

Primary practice location

131 Jones St
Appomattox, VA 24522-9830

Mailing address

PO Box 607
Appomattox, VA 24522-0607
Phone (434) 352-8235

Other identifiers 5

IdentifierTypeStateIssuer
005608830MedicaidVA
080171330OtherMEDICARE RAILROAD PROVIDER NUMBER
1457335689MedicaidVA
0907130002OtherDME APPOMATTOX
248720OtherANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20051028000042 VA Practitioner - Family Practice 6608893714 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101041287VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Family Medicine CurrentSince Nov 3, 2016 Accepting new patients
Privia Medical Group, LLC CurrentSince Nov 3, 2016 Accepting new patients

Locations

131 Jones St
Appomattox, VA 24522
Phone (434) 332-7367

2019 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 845-7035

8644 Sudley Rd
#220
Manassas, VA 20110

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376352000000",
    "number": "1457335689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 607",
            "city": "APPOMATTOX",
            "state": "VA",
            "postal_code": "245220607",
            "telephone_number": "434-352-8235",
            "fax_number": "434-352-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 JONES ST",
            "city": "APPOMATTOX",
            "state": "VA",
            "postal_code": "245229830",
            "telephone_number": "434-332-7367",
            "fax_number": "434-332-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "JOHN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2013-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101041287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005608830",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PROVIDER NUMBER",
            "identifier": "080171330",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457335689",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME APPOMATTOX",
            "identifier": "0907130002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "248720",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Appomattox, VA

Sources for this page

Verify at the official NPI Registry.