Provider Demographics
NPI:1164470951
Name:HOBBS, JON L (DO)
Entity Type:Individual
Prefix:DR
First Name:JON
Middle Name:L
Last Name:HOBBS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1028 LEE ANN DR NE
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-2903
Mailing Address - Country:US
Mailing Address - Phone:704-782-1892
Mailing Address - Fax:704-786-1890
Practice Address - Street 1:1028 LEE ANN DR NE
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-2903
Practice Address - Country:US
Practice Address - Phone:704-782-1892
Practice Address - Fax:704-786-1890
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2015-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCSC0659207P00000X
NC9800907207P00000X
FLOS0007075207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL93635OtherBCBS
FL040447100Medicaid
NC89126W2Medicaid
SCT00657Medicaid
NC126W2OtherBCBS
FL040447100Medicaid
FLBH397YMedicare PIN
P00337550Medicare PIN
H09021Medicare UPIN
SCT00657Medicaid