Eric W Hoffler, MD
Individual provider Active NPI Pediatrics Physician · Fayetteville, GA
NPI 1467409458 · NPPES record last updated Oct 14, 2024
Key facts
- NPI
- 1467409458
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- E-18440 (AR)
- Practice address
- 735 Glynn St S
Fayetteville, GA 30214-2049 - Phone
- (770) 461-4126
- Fax
- (770) 461-8852
- NPI assigned
- May 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241028002063 | AR | Practitioner - Pediatric Medicine | 3971036039 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032752 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Childrens Hospital | Pediatrics | Current |
Accepting new patients |
| University of Arkansas for Medical Sciences | Current |
Accepting new patients | |
| University of Arkansas for Medical Sciences | Pediatrics | Current | Accepting new patients |
| University of Arkansas for Medical Sciences | Current |
Accepting new patients | |
| Arkansas Children'S Hospital | Current |
Accepting new patients | |
| Arkansas Childrens Hospital | Past | Accepting new patients | |
| Abc Pediatrics | Pediatrics | Past | Accepting new patients |
Locations
4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278
1 Childrens Way
Little Rock, AR 72202
Phone (501) 364-1874
1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006
1 Childrens Way
#5121
Little Rock, AR 72202
Phone (501) 364-5262
1 Childrens Way
Ste 653
Little Rock, AR 72202
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 032752 | GA | |
| Pediatrics Physician | 208000000X | E-18440 | AR | Yes |
Addresses
Primary practice location
735 Glynn St S
Fayetteville, GA 30214-2049
Mailing address
735 Glynn St S
Fayetteville, GA 30214-2049
Phone (770) 461-4126
Other practice location 1
1 Childrens Way # 512-1
Little Rock, AR 72202-3500
Phone (501) 364-1100
Other providers in Fayetteville, GA
- Anissa Teriona Lashaun Hobbs
- Vanessa J Hobbs
- Charlett Hodge
- Jamie Hoekstra
- Payton Hoerner
- James Hoffman
- Michelle N Holder
- Mirei Holland
- Brooke Holley
- Kristin Holly
All providers in Fayetteville, GA · Pediatrics Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.