Individual provider Active NPI

Kimberly Ann Hoffman, AU.D.

  • Audiologist
  • Eatonton, GA
National Provider Identifier
1871674630
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD003689 Issued in GA
Practice address
117 Harmony Xing Ste 8
Eatonton, GA 31024-9549
Phone
(706) 445-3211
Fax
(706) 467-9068
NPI assigned
Oct 18, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AUD003689 GA Primary

Addresses

Primary practice location

117 Harmony Xing Ste 8
Eatonton, GA 31024-9549

Mailing address

117 Harmony Crossing
Suite 8
Eatonton, GA 31024-5285
Phone (706) 453-2119

Other practice location 1

1000 Cowles Clinc Way
Dogwood Bldg, Suite D 200
Greensboro, GA 30642-5285
Phone (706) 453-2119

Other identifiers 1

IdentifierTypeStateIssuer
511I640088OtherGAPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041207000171 GA Practitioner - Qualified Audiologist 1052377538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

117 Harmony Xing
Suite 8
Eatonton, GA 31024-9548
Phone (706) 453-2119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
AUD003689GAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Audiology & Hearing Care CurrentSince May 17, 2008 Accepting new patients
Oconee Hearing Center, LLC Audiologist Past Accepting new patients

Locations

117 Harmony Xing
Ste 8
Eatonton, GA 31024
Phone (706) 445-3211

1000 Cowles Clinic Way
Ste D-200
Greensboro, GA 30642
Phone (706) 453-2119

Organizations & group practices 2

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1871674630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 HARMONY CROSSING",
            "address_2": "SUITE 8",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310245285",
            "telephone_number": "706-453-2119",
            "fax_number": "706-467-9068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 HARMONY XING STE 8",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310249549",
            "telephone_number": "706-445-3211",
            "fax_number": "706-467-9068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Cowles Clinc Way",
            "address_2": "Dogwood Bldg, Suite D 200",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "GA",
            "postal_code": "306425285",
            "country_code": "US",
            "telephone_number": "706-453-2119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD003689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "511I640088",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatonton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.