Active NPI
Stephanie Linville Hodges PLLC
- Urgent Care Clinic/Center
- Fayetteville, NC
National Provider Identifier
1306204185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- License
- 5006610
- Legal business name
- STEPHANIE LINVILLE HODGES PLLC
- Practice address
- 204 Westwood Shopping Ctr
Fayetteville, NC 28314-1528 - Phone
- (910) 676-7570
- NPI assigned
- Feb 8, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stephanie Hodges, DNP, FNP-C
- Title
- Owner
- Phone
- (910) 584-0358
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 5006610 | NC | |
| Urgent Care Clinic/Center | 261QU0200X | 5006610 | NC | Primary |
Addresses
Primary practice location
204 Westwood Shopping Ctr
Fayetteville, NC 28314-1528
Mailing address
2536 Thorngrove CT
Fayetteville, NC 28303-0259
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306204185 | Medicaid | NC |
Other names 1
- QwikMed Clinic
National Provider Directory
National Provider DirectoryLocations
204 Westwood Shopping Ctr
Fayetteville, NC 28314
Phone (910) 676-7570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1472083200000",
"number": "1306204185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2536 THORNGROVE CT",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283030259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 WESTWOOD SHOPPING CTR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283141528",
"telephone_number": "910-676-7570"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPHANIE LINVILLE HODGES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-08",
"last_updated": "2016-08-25",
"status": "A",
"authorized_official_last_name": "HODGES",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "910-584-0358",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DNP, FNP-C"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NC",
"license": "5006610",
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "NC",
"license": "5006610",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1306204185",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "QwikMed Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.