Active NPI
Taunya F. Hoffman, PA
- Physician Assistant
- Warner Robins, GA
National Provider Identifier
1659320919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 004246
- 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, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 297722922A | Medicaid | GA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 004246 | GA | MD | Physician 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.