Individual provider Active NPI

Charlotte Ann Hodges, MD

  • Surgery Physician
  • Dallas, TX
National Provider Identifier
1104035187
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
N9067 Issued in TX
Practice address
1151 North Buckner Blvd
Suite 308
Dallas, TX 75218
Phone
(214) 838-7171
Fax
(214) 838-7172
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X N9067 TX Primary

Addresses

Primary practice location

1151 North Buckner Blvd
Suite 308
Dallas, TX 75218

Mailing address

1151 North Buckner Blvd
Suite 308
Dallas, TX 75218
Phone (214) 838-7171

Other names 1

  • Miss Charlotte Ann Williams Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200526001668 TX Practitioner - General Surgery 6507007770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Baylor College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New You Bariatric Center PAGroup PAC ID 0648547349, 2 clinicians

Practice addresses (Care Compare)

1151 N Buckner Blvd
Suite 308
Dallas, TX 75218-3405
Phone (214) 838-7171

8144 Walnut Hill LN
Suite 450
Dallas, TX 75231-0906

9440 Poppy Dr
Dallas, TX 75218-3652
Phone (214) 838-7171

Hospital & facility affiliations

  • White Rock Medical Center Hospital, Dallas, TX, CCN 450678

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
New You Bariatric Center, PA Surgery CurrentSince May 1, 2017 Accepting new patients

Locations

1151 N Buckner Blvd
Ste 308
Dallas, TX 75218
Phone (214) 838-7171

8144 Walnut Hill Ln
Ste 450
Dallas, TX 75231
Phone (214) 346-0602

7200 State Highway 161
Ste 120
Irving, TX 75039
Phone (214) 838-7171

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FAJDAD/Endpoint/FAJDAD

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1104035187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 NORTH BUCKNER BLVD",
            "address_2": "SUITE 308",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75218",
            "telephone_number": "214-838-7171",
            "fax_number": "214-838-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 NORTH BUCKNER BLVD",
            "address_2": "SUITE 308",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75218",
            "telephone_number": "214-838-7171",
            "fax_number": "214-838-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "CHARLOTTE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "N9067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLOTTE",
            "last_name": "WILLIAMS",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.