NPIMap

Individual provider Active NPI

Thomas Warren Hobby, DO

  • Internal Medicine Physician
  • Valdosta, GA
National Provider Identifier
1497749733
Registry record updated Oct 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
048647 Issued in GA
Practice address
3207 Country Club Dr
Valdosta, GA 31605-1029
Phone
(229) 242-8480
Fax
(229) 241-0252
NPI assigned
Sep 1, 2005
Reactivated
Apr 12, 2006
Last updated
Oct 22, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 048647 GA Primary

Addresses

Primary practice location

3207 Country Club Dr
Valdosta, GA 31605-1029

Mailing address

3207 Country Club Dr
Valdosta, GA 31605-1029
Phone (229) 242-8480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20050104000332 GA Practitioner - Internal Medicine 5092763318 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians
SGMC Physician Network IncGroup PAC ID 4082036843, 128 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

3207 Country Club Rd
Valdosta, GA 31605-1029
Phone (229) 242-8480

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
048647GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC Internal Medicine CurrentSince Apr 5, 2017 Accepting new patients
SGMC Affiliated Services LLC Current Accepting new patients
Privia Medical Group of Georgia LLC Internal Medicine CurrentSince Apr 5, 2017 Accepting new patients
Macmed LLC CurrentSince Nov 1, 2016 Accepting new patients
SGMC Physician Network Inc CurrentSince Nov 1, 2020 Accepting new patients
SGMP Southland LLC CurrentSince Jul 23, 2018 Accepting new patients
Valdosta Medical Clinic CurrentSince Jul 17, 2000 Accepting new patients
Choice Family Medicine, PC Current Accepting new patients
Southland Behavioral Health Services LLC CurrentSince May 1, 2020 Accepting new patients

Locations

1606 Reynolds St
Brunswick, GA 31520

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

2927 Demere Rd
St Simons Island, GA 31522
Phone (912) 638-1999

100 S Madison St
Thomasville, GA 31792
Phone (229) 221-9552

201 Woodrow Wilson Dr
Valdosta, GA 31602
Phone (229) 241-0041

2209 Pineview Dr
Valdosta, GA 31602
Phone (229) 247-4357

2217 Pineview Dr
Valdosta, GA 31602
Phone (229) 247-4357

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

3207 Country Club Rd
Valdosta, GA 31605
Phone (229) 242-8480

4280 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 433-7350

950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: thomas.hobby.1@7117.direct.athenahealth.com
  • Direct secure messaging: thomas.hobby@valdostamed.gadirect.net

Organizations & group practices 10

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.

Hospital & facility affiliations 6

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": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224633600000",
    "number": "1497749733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3207 COUNTRY CLUB DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316051029",
            "telephone_number": "229-242-8480",
            "fax_number": "229-241-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3207 COUNTRY CLUB DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316051029",
            "telephone_number": "229-242-8480",
            "fax_number": "229-241-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOBBY",
        "first_name": "THOMAS",
        "middle_name": "WARREN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-01",
        "last_updated": "2008-10-22",
        "deactivation_date": "2006-03-24",
        "reactivation_date": "2006-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "048647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.