Active NPI
Amy Madderra Hovis, PA
- Medical Physician Assistant
- Christiansburg, VA
National Provider Identifier
1881607349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 0110002379
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0110002379 | Other | VA | STATE LICENSE |
| PENDING | Medicaid | VA |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blacksburg Neurology PC | Current | Accepting new patients | |
| Choice Physical Therapy & Wellness, Inc | Current | 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
- 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.
-
- Specialist
- Christiansburg, VA
- NPI 1114937109
-
- Physical Medicine & Rehabilitation Physician
- Mount Airy, NC
- NPI 1912085648
-
- Primary Care Clinic/Center
- Roanoke, VA
- NPI 1518304955
-
- Emergency Medicine Physician
- Salem, VA
- NPI 1467888263
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.