Individual provider Active NPI

Pamela Gay Hodges, APRN

  • Family Nurse Practitioner
  • Paragould, AR
National Provider Identifier
1346561461
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A003398 Issued in AR
Practice address
5 Market PL
Paragould, AR 72450-3555
Phone
(870) 236-4001
NPI assigned
Jun 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A003398 AR Primary

Addresses

Primary practice location

5 Market PL
Paragould, AR 72450-3555

Mailing address

5 Market PL
Paragould, AR 72450-3555
Phone (870) 236-4001

Other identifiers 1

IdentifierTypeStateIssuer
184263758MedicaidAR

Other names 1

  • Pamela Gay Ramirez Former name

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100727000573 AR Practitioner - Nurse Practitioner 1456484518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Paragould Family Care, P. a.Group PAC ID 2860789286, 5 clinicians

Practice addresses (Care Compare)

5 Market PL
Paragould, AR 72450-3555
Phone (870) 236-4001

Hospital & facility affiliations

  • Arkansas Methodist Medical Center Hospital, Paragould, AR, CCN 040039

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1700TXMDBehavioral Analyst
A003398ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Paragould Family Care, P. a. CurrentSince Feb 28, 2022 Accepting new patients

Locations

900 W Kingshighway
Paragould, AR 72450
Phone (870) 239-7000

5 Market Pl
Paragould, AR 72450
Phone (870) 236-4001

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 1

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": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1346561461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MARKET PL",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724503555",
            "telephone_number": "870-236-4001",
            "fax_number": "870-236-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MARKET PL",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724503555",
            "telephone_number": "870-236-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "PAMELA",
        "middle_name": "GAY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-14",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A003398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184263758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "RAMIREZ",
            "middle_name": "GAY",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Paragould, AR

Sources for this page

Verify at the official NPI Registry.