NPIMap

Individual provider Active NPI

Alexandra Hoffman Duvall, PA-C

  • Physician Assistant
  • Hiawassee, GA
National Provider Identifier
1629318191
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6711 Issued in GA
Practice address
103 Church St
Hiawassee, GA 30546-3223
Phone
(706) 896-4673
NPI assigned
Feb 21, 2013
Last updated
Jun 6, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 6711 GA Primary
Physician Assistant 363A00000X 0010-04601 NC

Addresses

Primary practice location

103 Church St
Hiawassee, GA 30546-3223

Mailing address

103 Church St
Hiawassee, GA 30546-3223
Phone (706) 896-4673

Other names 1

  • Alexandra Elizabeth Hoffman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130408000086 GA Practitioner - Physician Assistant 4789829136 Reassigns benefits to 1 organization
I20140501001838 NC Practitioner - Physician Assistant 4789829136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cardiovascular Clinic of North Georgia PCGroup PAC ID 9830350735, 11 clinicians

Practice addresses (Care Compare)

1475 Jesse Jewell Pkwy NE
Gainesville, GA 30501-3806

162 Legacy PT
Suite 300
Clayton, GA 30525-5354
Phone (678) 430-3110

Merit-based Incentive Payment System (MIPS)

Final score
90.97 of 100Reported as group
Quality
88.07
Improvement activities
40
Cost
85.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-04601NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
D. Bryan Johnson, MD PC Current Accepting new patients
Murphy Medical Center, Inc. CurrentSince Feb 5, 2014 Accepting new patients
Suzanne L. Nunn, MD PC Current Accepting new patients
Gastroenterology of Northeast Georgia PC Current Accepting new patients
Kilee Rayelle Smith, DO, PC Current Accepting new patients
Murphy Medical Center, Inc. CurrentSince Feb 5, 2014 Accepting new patients
Wendy L Smith M.D. PC Past Accepting new patients
Medlink Georgia, Inc PastSince Sep 21, 2021 Accepting new patients

Locations

35 Hospital Rd
Blairsville, GA 30512
Phone (706) 439-6812

103 Church St
Hiawassee, GA 30546
Phone (706) 896-4602

145 Medical Park Ln
Ste L
Murphy, NC 28906
Phone (828) 349-3376

75 Medical Park Ln
Ste D
Murphy, NC 28906
Phone (828) 835-4741

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 29

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Medlink RabunClayton, GA, CCN 111873 Federally qualified health center Corporate Director Sep 21, 2021
Medlink GainesvilleGainesville, GA, CCN 111865 Federally qualified health center Corporate Director Sep 21, 2021
Medlink HartwellHartwell, GA, CCN 111847 Federally qualified health center Corporate Director Sep 21, 2021
Medlink ColbertColbert, GA, CCN 111820 Federally qualified health center Corporate Director Sep 21, 2021
Medlink OglethorpeLexington, GA, CCN 111821 Federally qualified health center Corporate Director Sep 21, 2021
Medlink BowmanBowman, GA, CCN 111822 Federally qualified health center Corporate Director Sep 21, 2021
Medlink BanksCommerce, GA, CCN 111906 Federally qualified health center Corporate Director Sep 21, 2021
Medlink HabershamDemorest, GA, CCN 111975 Federally qualified health center Corporate Director Sep 21, 2021
Medlink WhiteCleveland, GA, CCN 111010 Federally qualified health center Corporate Director Sep 21, 2021
Medlink MonroeMonroe, GA, CCN 111037 Federally qualified health center Corporate Director Sep 21, 2021
Medlink DanielsvilleDanielsville, GA, CCN 111049 Federally qualified health center Corporate Director Sep 21, 2021
Medlink Winder Womens CenterWinder, GA, CCN 111050 Federally qualified health center Corporate Director Sep 21, 2021
Medlink CommerceCommerce, GA, CCN 111084 Federally qualified health center Corporate Director Sep 21, 2021
Medlink Rabun NorthClayton, GA, CCN 111089 Federally qualified health center Corporate Director Sep 21, 2021
Medlink Georgia IncLawrenceville, GA, CCN 111116 Federally qualified health center Corporate Director Sep 21, 2021
Medlink JeffersonJefferson, GA, CCN 111141 Federally qualified health center Corporate Director Sep 21, 2021
Medlink SuchesSuches, GA, CCN 851107 Federally qualified health center Corporate Director Sep 21, 2021
Medlink ClevelandCleveland, GA, CCN 851100 Federally qualified health center Corporate Director Sep 21, 2021
Medlink Georgia IncWinder, GA, CCN 851124 Federally qualified health center Corporate Director Sep 21, 2021
Medlink Georgia IncCleveland, GA, CCN 111898 Federally qualified health center Corporate Director Sep 21, 2021
Medlink Rabun Behavioral HealthClayton, GA, CCN 111183 Federally qualified health center Corporate Director Sep 21, 2021
Medlink Rabun Women's CenterClayton, GA, CCN 111805 Federally qualified health center Corporate Director Sep 21, 2021
Medlink OconeeWatkinsville, GA, CCN 851834 Federally qualified health center Corporate Director Sep 21, 2021
Medlink AthensAthens, GA, CCN 851950 Federally qualified health center Corporate Director Sep 21, 2021
Medlink Hawks School Based Health CenterGainesville, GA, CCN C21017 Federally qualified health center Corporate Director Sep 21, 2021
Medlink Coile School Based Health CenterAthens, GA, CCN C21032 Federally qualified health center Corporate Director Sep 21, 2021
Medlink HT Edwards School Based Health CenterAthens, GA, CCN C21026 Federally qualified health center Corporate Director Sep 21, 2021
Medlink Patriot School Based Health CenterLexington, GA, CCN C21046 Federally qualified health center Corporate Director Sep 21, 2021
Medlink Rabun Specialty ServicesClayton, GA, CCN C21063 Federally qualified health center Corporate Director Sep 21, 2021

Owned or controlled facilities with NPI records 29

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 29

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.

NPI Registry JSON

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1629318191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CHURCH ST",
            "city": "HIAWASSEE",
            "state": "GA",
            "postal_code": "305463223",
            "telephone_number": "706-896-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CHURCH ST",
            "city": "HIAWASSEE",
            "state": "GA",
            "postal_code": "305463223",
            "telephone_number": "706-896-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUVALL",
        "first_name": "ALEXANDRA",
        "middle_name": "HOFFMAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-21",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "6711",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-04601",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "HOFFMAN",
            "middle_name": "ELIZABETH",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hiawassee, GA

Sources for this page

Verify at the official NPI Registry.