Individual provider Active NPI

Amy Madderra Hovis, PA

  • Medical Physician Assistant
  • Christiansburg, VA
National Provider Identifier
1881607349
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110002379 Issued in VA
Practice address
2955 Market St Ste B
Christiansburg, VA 24073-6575
Phone
(540) 381-6211
Fax
(540) 645-6623
NPI assigned
Aug 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0110002379 VA Primary

Addresses

Primary practice location

2955 Market St Ste B
Christiansburg, VA 24073-6575

Mailing address

PO Box 8310
Roanoke, VA 24014-0310
Phone (540) 345-3556

Other practice location 1

1935 W Main St
Salem, VA 24153-3109
Phone (540) 387-0441

Other identifiers 2

IdentifierTypeStateIssuer
0110002379OtherVASTATE LICENSE
PENDINGMedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Blacksburg Neurology PC CurrentSince Jun 21, 2022 Accepting new patients
Choice Physical Therapy & Wellness, Inc CurrentSince Jun 21, 2022 Accepting new patients
Braeburn Emergency Physicians LLC Past Accepting new patients
Blue Ridge Healthcare Partners, LLC Past Accepting new patients

Locations

2955 Market St
Ste B
Christiansburg, VA 24073
Phone (540) 251-5084

Interoperability endpoints

  • Direct secure messaging: amy.hovis.1@30160.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1881607349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8310",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240140310",
            "telephone_number": "540-345-3556",
            "fax_number": "540-342-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 MARKET ST STE B",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240736575",
            "telephone_number": "540-381-6211",
            "fax_number": "540-645-6623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1935 W Main St",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "VA",
            "postal_code": "241533109",
            "country_code": "US",
            "telephone_number": "540-387-0441",
            "fax_number": "540-389-7868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOVIS",
        "first_name": "AMY",
        "middle_name": "MADDERRA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110002379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0110002379",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiansburg, VA

Sources for this page

Verify at the official NPI Registry.