Individual provider Active NPI

Martha Victoria Hobson, APRN

  • Family Nurse Practitioner
  • Sheridan, AR
National Provider Identifier
1548626310
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A004606 Issued in AR
Practice address
651 Heritage Dr
Sheridan, AR 72150-5000
Phone
(870) 942-1301
Fax
(870) 942-1305
NPI assigned
Jan 11, 2016
Last updated
Dec 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A004606 AR Primary

Addresses

Primary practice location

651 Heritage Dr
Sheridan, AR 72150-5000

Mailing address

PO Box 21850
Hot Springs National Park, AR 71903-1850
Phone (501) 525-9675

Other practice location 1

100 McGowan Ct
Hot Springs, AR 71913-6452
Phone (501) 525-9675

Other identifiers 2

IdentifierTypeStateIssuer
A004606OtherARAPRN
213173758MedicaidAR

Other names 1

  • Vicki George Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160414000349 AR Practitioner - Nurse Practitioner 0345548988 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson Comprehensive Care System, IncGroup PAC ID 5193634509, shared by 9 NPIs, 12 clinicians

Practice addresses (Care Compare)

1 Mercy LN
Hot Springs, AR 71913-6440

1 Mercy LN
Suite 201
Hot Springs National Park, AR 71913-6457
Phone (501) 321-2229

100 McGowan CT
Hot Springs National Park, AR 71913-6452
Phone (501) 627-1800

1101 S Tennessee St
Pine Bluff, AR 71601-5801

1101 Tennessee St
Pine Bluff, AR 71601-5801

300 Werner St
Hot Springs, AR 71913-6406

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A004606ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CHI St. Vincent Medical Group Hot Springs CurrentSince Apr 27, 2016 Accepting new patients
St Vincent Physician Clinics LLC Family Past Accepting new patients
Jefferson Comprehensive Care System, Inc Past Accepting new patients
Hot Springs MRI Center Past Accepting new patients

Locations

1 Mercy Ln
Ste 301
Hot Springs, AR 71913
Phone (501) 622-6556

1 Mercy Ln
Ste 201
Hot Springs National Park, AR 71913
Phone (501) 321-2229

100 McGowan Ct
Hot Springs National Park, AR 71913
Phone (501) 525-9675

5125 Northshore Dr
North Little Rock, AR 72118

651 Heritage Dr
Sheridan, AR 72150
Phone (870) 942-1301

Organizations & group practices 5

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": "1452470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1548626310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21850",
            "city": "HOT SPRINGS NATIONAL PARK",
            "state": "AR",
            "postal_code": "719031850",
            "telephone_number": "501-525-9675",
            "fax_number": "501-525-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 HERITAGE DR",
            "city": "SHERIDAN",
            "state": "AR",
            "postal_code": "721505000",
            "telephone_number": "870-942-1301",
            "fax_number": "870-942-1305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 McGowan Ct",
            "address_purpose": "LOCATION",
            "city": "Hot Springs",
            "state": "AR",
            "postal_code": "719136452",
            "country_code": "US",
            "telephone_number": "501-525-9675",
            "fax_number": "501-525-7059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOBSON",
        "first_name": "MARTHA",
        "middle_name": "VICTORIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-11",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "A004606",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213173758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICKI",
            "last_name": "GEORGE",
            "credential": "APRN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sheridan, AR

Sources for this page

Verify at the official NPI Registry.