Individual provider Active NPI

Taunya F. Hoffman, PA

  • Physician Assistant
  • Warner Robins, GA
National Provider Identifier
1659320919
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
004246 Issued in GA
Practice address
3051 Watson Blvd
Suite 525
Warner Robins, GA 31093-8536
Phone
(478) 953-4563
Fax
(478) 953-4616
NPI assigned
May 6, 2006
Last updated
Nov 5, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 004246 GA Primary

Addresses

Primary practice location

3051 Watson Blvd
Suite 525
Warner Robins, GA 31093-8536

Mailing address

120-B Osigian Blvd
Suite 100
Warner Robins, GA 31088-8939
Phone (478) 953-5358

Other identifiers 1

IdentifierTypeStateIssuer
297722922AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
004246GAMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383609600000",
    "number": "1659320919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120-B OSIGIAN BLVD",
            "address_2": "SUITE 100",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888939",
            "telephone_number": "478-953-5358",
            "fax_number": "478-953-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 WATSON BLVD",
            "address_2": "SUITE 525",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310938536",
            "telephone_number": "478-953-4563",
            "fax_number": "478-953-4616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "TAUNYA",
        "middle_name": "F.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-06",
        "last_updated": "2013-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "004246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "297722922A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.