Individual provider Active NPI

Ana Ceide Hodges, M.D.

  • Pediatrics Physician
  • Fayetteville, NC
National Provider Identifier
1306809926
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
20000084 Issued in NC
Practice address
556 Sandhurst Dr
Fayetteville, NC 28304-4426
Phone
(910) 483-2646
Fax
(910) 483-9470
NPI assigned
Apr 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 20000084 NC Primary

Addresses

Primary practice location

556 Sandhurst Dr
Fayetteville, NC 28304-4426

Mailing address

556 Sandhurst Dr
Fayetteville, NC 28304-4426
Phone (910) 483-2646

Other identifiers 1

IdentifierTypeStateIssuer
5912254MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240722003953 NC Practitioner - Pediatric Medicine 4082150412 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20000084NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland County Hospital System Inc Current Accepting new patients
Cumberland County Hospital System Inc CurrentSince May 6, 2024 Accepting new patients
Cumberland County Hospital System Inc Pediatrics CurrentSince May 6, 2024 Accepting new patients
Pediatric After Hours Care of Fayetteville Pediatrics Current Accepting new patients

Locations

556 Sandhurst Dr
Fayetteville, NC 28304
Phone (910) 483-2646

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

1095 N Bragg Blvd
Ste 104
Spring Lake, NC 28390
Phone (910) 339-6015

Interoperability endpoints

  • Direct secure messaging: ahodges33690@capefearvalley.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1306809926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 SANDHURST DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044426",
            "telephone_number": "910-483-2646",
            "fax_number": "910-483-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 SANDHURST DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044426",
            "telephone_number": "910-483-2646",
            "fax_number": "910-483-9470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "ANA",
        "middle_name": "CEIDE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-07",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "20000084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5912254",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.