Active NPI
Charles F Hobby, M.D.
- Diagnostic Radiology Physician
- Valdosta, GA
National Provider Identifier
1922089176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 011957
- Practice address
- 2704 N Oak St
Building E
Valdosta, GA 31602-1744 - Phone
- (229) 333-9729
- Fax
- (229) 333-0832
- NPI assigned
- Nov 7, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 011957 | GA | Primary |
Addresses
Primary practice location
2704 N Oak St
Building E
Valdosta, GA 31602-1744
Mailing address
PO Box 3670
Valdosta, GA 31604-3670
Phone (229) 333-9729
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000009897A | Medicaid | GA |
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 |
|---|---|---|---|
| 011957 | GA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Open MRI of Tifton LLC | Past | Accepting new patients | |
| Radiology Associates of Valdosta, LLC | Diagnostic Radiology | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Tifton, GA
- NPI 1679542526
-
- Diagnostic Radiology Physician
- Valdosta, GA
- NPI 1134429582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294790400000",
"number": "1922089176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3670",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316043670",
"telephone_number": "229-333-9729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2704 N OAK ST",
"address_2": "BUILDING E",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316021744",
"telephone_number": "229-333-9729",
"fax_number": "229-333-0832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOBBY",
"first_name": "CHARLES",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-07",
"last_updated": "2011-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "011957",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000009897A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.