Individual provider Active NPI

Lauren Hodge, NP

  • Nurse Practitioner
  • Columbus, GA
National Provider Identifier
1316537004
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN268630 Issued in GA
Practice address
1345 13TH St Ste Q
Columbus, GA 31901-2338
Phone
(045) 965-6704
Fax
(706) 653-7800
NPI assigned
Jan 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN268630 GA Primary

Addresses

Primary practice location

1345 13TH St Ste Q
Columbus, GA 31901-2338

Mailing address

7351 Old Moon Rd
Columbus, GA 31909-7291
Phone (706) 653-7000

Other identifiers 1

IdentifierTypeStateIssuer
RN268630OtherGAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210202001672 GA Practitioner - Nurse Practitioner 5092129015 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
A. Dhandayuthapani, MD PC CurrentSince May 1, 2024 Accepting new patients

Locations

713 20th St
Columbus, GA 31904
Phone (706) 322-5526

510 Alston St
Richland, GA 31825
Phone (229) 887-3324

Interoperability endpoints

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1316537004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7351 OLD MOON RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319097291",
            "telephone_number": "706-653-7000",
            "fax_number": "706-653-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 13TH ST STE Q",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319012338",
            "telephone_number": "045-965-6704",
            "fax_number": "706-653-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGE",
        "first_name": "LAUREN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-26",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN268630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "RN268630",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.