Active NPI
Jeffrey D. Hoffman, MD
- Family Medicine Physician
- Concord, NC
National Provider Identifier
1841287679
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Oct 20, 2022.
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 39821
- Practice address
- 101 Cabarrus Ave E
Concord, NC 28025-3699 - Phone
- (888) 849-7379
- Fax
- (855) 857-7333
- NPI assigned
- Oct 6, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 80607 | GA | |
| Family Medicine Physician | 207Q00000X | ME137348 | FL | |
| Family Medicine Physician | 207Q00000X | E-11497 | AR | |
| Family Medicine Physician | 207Q00000X | 52136 | KY | |
| Family Medicine Physician | 207Q00000X | 0101265646 | VA | |
| Family Medicine Physician | 207Q00000X | 35.134060 | OH | |
| Family Medicine Physician | 207Q00000X | 4301114941 | MI | |
| Family Medicine Physician | 207Q00000X | D0085354 | MD | |
| Family Medicine Physician | 207Q00000X | 58776 | TN | |
| Family Medicine Physician | 207Q00000X | 39821 | NC | Primary |
Addresses
Primary practice location
101 Cabarrus Ave E
Concord, NC 28025-3699
Mailing address
101 Cabarrus Ave E
Concord, NC 28025-3699
Phone (888) 849-7379
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NC2348 | Medicaid | SC | |
| 894278B | Medicaid | NC | |
| 1841287679 | Medicaid | NC |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-11497 | AR | MD | Family Medicine Physician |
| ME137348 | FL | MD | Family Medicine Physician |
| 80607 | GA | MD | Family Medicine Physician |
| 52136 | KY | MD | Family Medicine Physician |
| D0085354 | MD | MD | Family Medicine Physician |
| 4301114941 | MI | MD | Family Medicine Physician |
| 39821 | NC | MD | Family Medicine Physician |
| 35.134060 | OH | MD | Family Medicine Physician |
| 58776 | TN | MD | Family Medicine Physician |
| 0101265646 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cabarrus Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/c32cb33f-ec61-4f25-9140-0b9b174fe4db/
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Concord, NC
- NPI 1679758759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576627200000",
"number": "1841287679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 CABARRUS AVE E",
"city": "CONCORD",
"state": "NC",
"postal_code": "280253699",
"telephone_number": "888-849-7379",
"fax_number": "855-857-7333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 CABARRUS AVE E",
"city": "CONCORD",
"state": "NC",
"postal_code": "280253699",
"telephone_number": "888-849-7379",
"fax_number": "855-857-7333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMAN",
"first_name": "JEFFREY",
"middle_name": "D.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-06",
"last_updated": "2019-12-18",
"certification_date": "2019-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "80607",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME137348",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "E-11497",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "52136",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101265646",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35.134060",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301114941",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D0085354",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "58776",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "39821",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NC2348",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "894278B",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1841287679",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.