BENJAMIN MARK HOFFMAN (NPI# 1417375460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417375460 |
| Entity Type | Individual |
| Full Name | BENJAMIN MARK HOFFMAN |
| Credential | MD |
| Practice Address |
12 Executive Park Dr Ne Atlanta GA 30329 |
| Mailing Address |
12 Executive Park Dr Ne Atlanta GA 30329-2206 |
| Practice Telephone | 8657424557 |
| Mailing Telephone | 8657424557 |
| Enumeration Date | 2014-04-06 |
| Last Update Date | 2019-12-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
080612 | GA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Wake Forest Baptist Medical Ctr, Medical Center Boulevard, Winston Salem, NC 271570001 | 3367162317 | |
| 677 Church St Ne Ste 100, Marietta, GA 300601101 | 7704222326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609834530 | Benjamin Hoffman | Internal Medicine | 4 Liberty Ln W, Hampton, NH 03842-1704 | 2006-05-02 |
| 1518594746 | Benjamin Uri Sim-mun Hoffman | Student in an Organized Health Care Education/Training Program | 505 Parnassus Ave, San Francisco, CA 94143-2204 | 2020-03-26 |
| 1821552886 | Benjamin Hoffman | Massage Therapist | 1138 Nw Market St, Seattle, WA 98107-3710 | 2019-01-24 |
| 1275064032 | Benjamin Richard Hoffman | Social Worker | 617 Western Ave, Toledo, OH 43609-2701 | 2017-03-23 |
| 1164864872 | Benjamin Hoffman | Behavioral Analyst | 13901 Amargosa Rd, Suite 2, Victorville, CA 92392-2409 | 2013-07-23 |
| 1124353784 | Benjamin Nathan Hoffman | Internal Medicine | 3918 Via Poinciana, Ste 8, Lake Worth, FL 33463 | 2009-10-14 |
| 1063640100 | Benjamin Joseph Hoffman | Radiology | 701 Park Ave, P4, Minneapolis, MN 55415-1623 | 2009-06-28 |
| 1639185200 | Benjamin Hoffman | Pediatrics | 3rd Ambulatory Care Ctr, 2211 Lomas Blvd. Ne, Albuquerque, NM 87131-0001 | 2006-08-01 |
| 1366485799 | Benjamin R Hoffman | Radiology | 747 Ponce De Leon Blvd, Coral Gables, FL 33134-2049 | 2006-06-14 |
| Street Address |
12 EXECUTIVE PARK DR NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053379669 | Peter Ash | Psychiatry & Neurology | 12 Executive Park Dr Ne, Child Psychiatry, Suite 200, Atlanta, GA 30329-2206 | 2006-05-03 |
| 1114546017 | Joya N Hampton-anderson | Psychologist | 12 Executive Park Dr Ne, Atlanta, GA 30329-2206 | 2020-04-10 |
| 1922627116 | Justin Trop | Psychiatry & Neurology | 12 Executive Park Dr Ne, Atlanta, GA 30329-2206 | 2020-04-09 |
| 1043852460 | Megan Leigh Goodlin | Social Worker | 12 Executive Park Dr Ne, Atlanta, GA 30329-2206 | 2019-10-17 |
| 1134772056 | Kathleen Dickens Colsson | Nurse Practitioner | 12 Executive Park Dr Ne, Atlanta, GA 30329-2206 | 2019-07-19 |
| 1174185763 | Anastacia A. Nichols | Clinical Neuropsychologist | 12 Executive Park Dr Ne, Atlanta, GA 30329-2206 | 2019-07-03 |
| 1053975268 | Kelsey R Sprang Jones | Psychologist | 12 Executive Park Dr Ne, Atlanta, GA 30329-2206 | 2019-04-24 |
| 1114581436 | Danielle Nichole Wray | Social Worker | 12 Executive Park Dr Ne, Atlanta, GA 30329-2206 | 2019-04-23 |
| 1326500356 | Philip Thomas Bowers | Student in an Organized Health Care Education/Training Program | 12 Executive Park Dr Ne, Atlanta, GA 30329-2206 | 2019-03-31 |
| 1740749209 | Mary Coyle | Nurse Practitioner | 12 Executive Park Dr Ne, Atlanta, GA 30329-2206 | 2019-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871084111 | Inner Peace Counseling Services,llc | Counselor | 2801 Bufford Highway, Suite T-10, Atlanta, GA 30329 | 2018-05-22 |
| 1912409392 | Joie De Vivre Counseling and Therapy | Counselor | 2801 Buford Highway, Ne, Atlanta, GA 30329 | 2018-03-01 |
| 1902329105 | Barbara Dunbar | Psychologist | 1777 Northeast Expressway, #175, Atlanta, GA 30329 | 2017-07-19 |
| 1114449048 | Cricket Cheyenne Gullickson | Student in an Organized Health Care Education/Training Program | 1371 Briarvista Way Ne, Atlanta, GA 30329 | 2017-07-12 |
| 1902357866 | Carla Zimmerly | Nurse Practitioner | 1711 Tullie Circle, Atlanta, GA 30329 | 2016-10-17 |
| 1316490808 | Shahzad Ghori | Student in an Organized Health Care Education/Training Program | 1727 Druid Oaks Ne, Atlanta, GA 30329 | 2016-08-01 |
| 1023467768 | Ashley Elliott | Physician Assistant | 59 Executive Park, Atlanta, GA 30329 | 2016-06-03 |
| 1285096115 | Kimberley Fox | Internal Medicine | 1600 Clifton Rd Ne, Ms A-04, Cdc, Atlanta, GA 30329 | 2016-03-21 |
| 1275991648 | Mary Patricia Joyce | Internal Medicine | 1600 Clifton Road, E-47, Centers for Disease Control and Prevention, Atlanta, GA 30329 | 2016-02-01 |
| 1346656618 | Amelia Muniz Hernandez | Pediatrics | 1841 Clifton Rd Ne # 508, Atlanta, GA 30329 | 2014-07-08 |
| Find all providers in zip 30329 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366925497 | David Wayne Richardson | Psychiatry & Neurology | 400 Rock Springs Road Ne, Atlanta, GA 30324 | 2018-09-14 |
| 1649680844 | Adam Dickey | Psychiatry & Neurology | 49 Jesse Hill Jr Dr Se Ste 470, Atlanta, GA 30303-3049 | 2014-04-28 |
| 1326468349 | Jasmine Forte | Psychiatry & Neurology | 1400 Tullie Rd Ne Ste 400, Atlanta, GA 30329-2309 | 2014-04-17 |
| 1881012631 | Elissa Ortolani | Psychiatry & Neurology | 1400 Tullie Rd Ne Ste 420, Atlanta, GA 30329-2309 | 2014-03-30 |
| 1982044582 | Nirav Ravindra Bhatt | Psychiatry & Neurology | 80 Jesse Hill Jr Dr Se, Department of Neurology, Office 8d015a, # 036, Atlanta, GA 30303-2107 | 2013-06-27 |
| 1790028769 | Amit Deepak Shah | Psychiatry & Neurology | 915 W Peachtree St Nw Unit 522, Atlanta, GA 30309 | 2013-03-28 |
| 1174872675 | William Elsner | Psychiatry & Neurology | 3864 Dumbarton Rd Nw, Atlanta, GA 30327-2620 | 2012-08-30 |
| 1003174624 | Atlanta Internal Medicine and Psychiatric Care | Psychiatry & Neurology | 6111 Peachtree Dunwoody Rd Ne # C, Atlanta, GA 30328-6049 | 2012-05-02 |
| 1770858953 | Steven Cornell Figiel | Psychiatry & Neurology | 1301 Hightower Trl, Suite 150, Atlanta, GA 30350-2983 | 2012-03-20 |
| 1134419088 | Christian Michael Cabrera Kang | Psychiatry & Neurology | 6135 Barfield Rd Ste 130, Atlanta, GA 30328 | 2011-04-12 |
| Find all providers in ATLANTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.