Active NPI
Lloyd M Hofer, MD
- Pediatrics Physician
- Lawrenceville, GA
National Provider Identifier
1568508539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 36176
- Practice address
- 2570 Riverside Dr.
Lawrenceville, GA 30046-0897 - Phone
- (770) 339-4260
- NPI assigned
- Jan 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 36176 | GA | Primary |
Addresses
Primary practice location
2570 Riverside Dr.
Lawrenceville, GA 30046-0897
Mailing address
2570 Riverside Dr.
P.O. Box 897
Lawrenceville, GA 30046-0897
Phone (770) 339-4260
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141022002316 | GA | Order and Referring Only - Pediatric Medicine | 5496843195 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newton County Health Department | Past | Accepting new patients | |
| Rockdale County Health Department | Past | Accepting new patients |
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.
-
dba Buford Health Center
- Public Health or Welfare Agency
- Buford, GA
- NPI 1457430944
-
dba Gwinnett County Public Health Services
- Public Health or Welfare Agency
- Lawrenceville, GA
- NPI 1720175169
-
dba Norcross Health Center
- Public Health or Welfare Agency
- Norcross, GA
- NPI 1912078627
-
- Public Health or Welfare Agency
- Covington, GA
- NPI 1124099908
-
- Public Health or Welfare Agency
- Conyers, GA
- NPI 1295706083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450051200000",
"number": "1568508539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2570 RIVERSIDE DR.",
"address_2": "P.O. BOX 897",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300460897",
"telephone_number": "770-339-4260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2570 RIVERSIDE DR.",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300460897",
"telephone_number": "770-339-4260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFER",
"first_name": "LLOYD",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2015-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "36176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.