Jerry F Hodges, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C5406 Issued in AR

Practice address

215 N 4TH St
Dardanelle, AR 72834-3713

Phone

(479) 229-2827

Fax

(479) 229-5749

NPI assigned

Jul 6, 2006

Last updated

Aug 28, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: rvmjhodge@yourcarecommunity.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mercy Medical Services, Inc

  • Multi-Specialty Clinic/Center
  • Fort Smith, AR
  • NPI 1750349932
  NPD (past)
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409184000000",
    "number": "1194757849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 637",
            "city": "DARDANELLE",
            "state": "AR",
            "postal_code": "728340637",
            "telephone_number": "479-229-2827",
            "fax_number": "479-229-5749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N 4TH ST",
            "city": "DARDANELLE",
            "state": "AR",
            "postal_code": "728343713",
            "telephone_number": "479-229-2827",
            "fax_number": "479-229-5749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "JERRY",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2014-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "C5406",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C5406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106616001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Breanna Harris, MD
• Keely Hatfield, APRN-CNP
• Heart Work Counseling Services LLC
• Joe Hebert, APRN
• Samnieng M Hernandez, APN
• Abigail Huddleston, PA-C
• Danielle Nicole James, APRN
• Carla Keeling
• Chris Key
• Gretchen Keyse, CNP

• Family Medicine Physician in Dardanelle, AR
• Providers in Dardanelle, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.