NPIMap

Individual provider Active NPI

Hansley Bobo, MD

  • Internal Medicine Physician
  • Atlanta, GA
National Provider Identifier
1689202517
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME166352 Issued in FL
Practice address
720 Westview Dr SW
Atlanta, GA 30310-1458
Phone
(404) 756-1368
NPI assigned
Mar 27, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 94964 GA
Internal Medicine Physician 207R00000X ME166352 FL Primary

Addresses

Primary practice location

720 Westview Dr SW
Atlanta, GA 30310-1458

Mailing address

PO Box 935921
Atlanta, GA 31193-5921

Other practice location 1

301 Memorial Medical Pkwy
Daytona Beach, FL 32117
Phone (386) 231-1091

Other practice location 2

401 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 424-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 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
I20230720000224 GA Practitioner - Internal Medicine 3173983384 Reassigns benefits to 4 organizations
I20240312001327 FL Practitioner - Internal Medicine 3173983384 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Florida State University College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Healthcare Partners, IncGroup PAC ID 7012266836, 621 clinicians
Cogent Healthcare of Georgia PCGroup PAC ID 2961483607, 252 clinicians
Hospital Medicine Services of Ga LLCGroup PAC ID 2062997505, 90 clinicians
M Medical Group SE LLCGroup PAC ID 4385037670, 20 clinicians

Practice addresses (Care Compare)

301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Phone (386) 231-6000

4700 Waters Ave
Savannah, GA 31404-6220
Phone (912) 350-8000

595 N Williamson Blvd
Daytona Beach, FL 32114-7185
Phone (386) 257-4400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.02 of 100Reported as group
Quality
57.87
Promoting interoperability
100
Improvement activities
40
Cost
75.97

Merit-based Incentive Payment System (MIPS)

Final score
76.36 of 100Reported as group
Quality
46.72
Promoting interoperability
99
Improvement activities
40
Cost
75.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Georgia PC Internal Medicine CurrentSince Jul 18, 2023 Accepting new patients
Peachtree Immediate Care FP, LLC CurrentSince Mar 5, 2026 Accepting new patients
Cooperative Healthcare Services Inc Internal Medicine CurrentSince Oct 1, 2023 Accepting new patients
Florida Hospital Healthcare Partners, Inc Internal Medicine CurrentSince May 6, 2024 Accepting new patients
Savannah Health Services, LLC Past Accepting new patients

Locations

3543 US Hwy 431 N
Ste D
Phenix City, AL 36867
Phone (334) 214-1080

301 Memorial Medical Pkwy
Daytona Beach, FL 32117
Phone (386) 231-3906

401 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 424-5000

1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079

1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500

1275 Highway 54 W
Ste 201
Fayetteville, GA 30214
Phone (770) 461-3776

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: hbobo3003611@adventhealth.direct-ci.com

Organizations & group practices 7

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 8

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": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1689202517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 935921",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311935921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 WESTVIEW DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101458",
            "telephone_number": "404-756-1368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Memorial Medical Pkwy",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "32117",
            "country_code": "US",
            "telephone_number": "386-231-1091",
            "fax_number": "386-231-1092",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Palmetto St",
            "address_purpose": "LOCATION",
            "city": "New Smyrna Beach",
            "state": "FL",
            "postal_code": "32168",
            "country_code": "US",
            "telephone_number": "386-424-6400",
            "fax_number": "386-424-6422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOBO",
        "first_name": "HANSLEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-27",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "94964",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME166352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.