Matthew R Hoffman (NPI# 1982727749, PAC ID# 6204920598) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1982727749 |
| PAC ID by PECOS | 6204920598 |
| Professional Enrollment ID | I20070918000090 |
| Full Name | Matthew R Hoffman |
| Organization Legal Name | NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC |
| Address |
960 Woodstock Pkwy Suite 300 Woodstock GA 30188-4867 |
| Phone Number | 7705172145 |
| Gender | M |
| Medical School | EMORY UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | CRITICAL CARE (INTENSIVISTS), PULMONARY DISEASE |
| Group Practice PAC ID | 9638343924 |
| Number of Group Practice Members | 187 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110161 | NORTHSIDE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 960 Woodstock Pkwy, Suite 300, Woodstock, GA 30188-4867 | 7705172145 | NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC |
| Organization Legal Name | NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC |
| Physicians | 170 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gail L Hartman | Nurse Practitioner | Northside Primary Care Professional Services,llc | 960 Johnson Ferry Rd, Suite 500, Atlanta, GA 30342-1630 |
| Hannah Butler Cummings | Nurse Practitioner | Northside Primary Care Professional Services,llc | 3380 Paddock Pkwy, Suwanee, GA 30024-9119 |
| Katy R Hanaford | Nurse Practitioner | Northside Primary Care Professional Services,llc | 3850 Windermere Pkwy, Suite 105, Cumming, GA 30041-7033 |
| Jason Stanley Krahnke | Pulmonary Disease | Northside Primary Care Professional Services,llc | 460 Northside Cherokee Blvd, Suite 130, Canton, GA 30115-8016 |
| Melissa A Dubois | Nurse Practitioner | Northside Primary Care Professional Services,llc | 960 Woodstock Pkwy, Suite 300, Woodstock, GA 30188-4867 |
| Gorka Zurinaga | Internal Medicine | Northside Primary Care Professional Services,llc | 11785 Northfall Ln, Suite 505, Alpharetta, GA 30009-7961 |
| Otto C Goyco | Internal Medicine | Northside Primary Care Professional Services,llc | 3340 Paddock Pkwy, Suwanee, GA 30024-9119 |
| Karen P Cooksey | Nurse Practitioner | Northside Primary Care Professional Services,llc | 10745 W Way, Suite 125, Alpharetta, GA 30009 |
| Lonnie Herzog | Internal Medicine | Northside Primary Care Professional Services,llc | 5670 Peachtree-dunwoody Rd Ne, Suite 1200, Atlanta, GA 30342-4791 |
| Syed Wasi Rizvi | Internal Medicine | Northside Primary Care Professional Services,llc | 3400 A-old Milton Pkwy, Suite 200, Alpharetta, GA 30005-3707 |
| Street Address |
960 WOODSTOCK PKWY SUITE 300 |
| City | WOODSTOCK |
| State | GA |
| Zip | 30188-4867 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa A Dubois | Nurse Practitioner | Northside Primary Care Professional Services,llc | 960 Woodstock Pkwy, Suite 300, Woodstock, GA 30188-4867 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly A Vaccaro | Chiropractic | 5101 Old Hwy 5, Suite 1, Woodstock, GA 30188 | |
| Jonathan D Chao | Optometry | Woodstock Optometry, P.C. | 915 Ridgewalk Pkwy, Suite 425, Woodstock, GA 30188-0119 |
| Henry Leavengood | Chiropractic | 1238 S Houston Lake Rd, Suite 3, Warner Robins, GA 30188-0724 | |
| Lara Kile | Chiropractic | Leavengood Chiropractic, PC | 1238 S Houston Lake Rd, Suite 3, Warner Robins, GA 30188-0724 |
| Kenya M Ragland | Nurse Practitioner | Georgia Urgent Care, - Alpharetta, LLC | 7820 Hickory Flat Hwy, Woodstock, GA 30188-2099 |
| Jean M Armand | Nurse Practitioner | Georgia Urgent Care, - Alpharetta, LLC | 7820 Hickory Flat Hwy, Woodstock, GA 30188-2099 |
| Kellie C Baxter | Chiropractic | 6875 Hickory Rd, Suite 110, Woodstock, GA 30188-2327 | |
| Mary M Strange | Chiropractic | 5947 Holly Springs Pkwy, Suite 308, Holly Springs, GA 30188-2449 | |
| Mark A Amos | Chiropractic | 10214 Hickory Flat Hwy, Woodstock, GA 30188-3094 | |
| Burton Stevens Jr. | Physical Therapy | Soar Physical Therapy, Inc | 6884 Hickory Flat Hwy, Woodstock, GA 30188-3229 |
| Find all physicians in zip 30188 | |||
| City | WOODSTOCK |
| Zip Code | 30188 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | WOODSTOCK + INTERNAL MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.