Iverson B Hopson III

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3989 Issued in AL

Practice address

1415 Jeff Davis Ave
Selma, AL 36703-3833

Phone

(334) 874-4311

NPI assigned

Mar 23, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13116/brand/1/csg/1/fhir/r4
• Direct secure messaging: iverson.hopson.1@13116.direct.athenahealth.com

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.

• Rural Health Medical Program, Inc.

  dba Marion Health Center

  • Federally Qualified Health Center (FQHC)
  • Marion, AL
  • NPI 1437238151
  Medicare reassignment NPD
• Rural Health Medical Program, Inc

  dba Vredenburgh Health Center

  • Federally Qualified Health Center (FQHC)
  • Vredenburgh, AL
  • NPI 1104995208
  NPD
• Rural Health Medical Program, Inc

  dba Thomaston Health Center

  • Federally Qualified Health Center (FQHC)
  • Thomaston, AL
  • NPI 1215471032
  NPD
• Rural Health Medical Program, Inc

  dba Pine Apple Health Center

  • Federally Qualified Health Center (FQHC)
  • Pine Apple, AL
  • NPI 1295804391
  NPD
• Rural Health Medical Program, Inc

  dba Monroeville Health Center

  • Family Medicine Physician
  • Monroeville, AL
  • NPI 1457994121
  NPD
• Rural Health Medical Program, Inc

  • Podiatrist
  • Selma, AL
  • NPI 1871458927
  NPD
• Rural Health Medical Program, Inc

  dba RHMPI - Selma Health Center and Administrative Office

  • Federally Qualified Health Center (FQHC)
  • Selma, AL
  • NPI 1992040950
  NPD
• Rural Health Medical Program, Inc.

  dba Uniontown Health Services

  • Federally Qualified Health Center (FQHC)
  • Uniontown, AL
  • NPI 1033298757
  NPD
• Rural Health Medical Program, Inc.

  dba Yellow Bluff Health Center

  • Federally Qualified Health Center (FQHC)
  • Camden, AL
  • NPI 1760561419
  NPD

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

{
    "created_epoch": "1206230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206230400000",
    "number": "1881865400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 JEFF DAVIS AVE",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367033833",
            "telephone_number": "334-874-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 JEFF DAVIS AVE",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367033833",
            "telephone_number": "334-874-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPSON",
        "first_name": "IVERSON",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-23",
        "last_updated": "2008-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "3989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD",
            "identifier": "510-90415",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008605170",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Hoke
• Holistic Behavioral Healthcare LLC
• Homestead Hospice of Cahaba
• Homestead Hospice of Cahaba, LLC (Traditions Health)
• Homestead Hospice of Cahaba, LLC (Traditions Health)
• Lateshia Rochelle Horton
• Hospice Complete, Inc (Hospice Complete - Selma)
• Howard Obstetrics and Gynecology, LLC
• Vatausha Howard, LPC
• Yolanda Denise Howard, CRNP

• General Practice Dentistry in Selma, AL
• Providers in Selma, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2008; 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.

Verify at the official NPI Registry.