Individual provider Active NPI

David Graham Hodge, MD

  • Internal Medicine Physician
  • Carthage, MS
National Provider Identifier
1376285528
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35671 Issued in MS
Practice address
1100 Highway 16 E
Carthage, MS 39051-4222
Phone
(601) 267-1470
Fax
(601) 267-1469
NPI assigned
Apr 8, 2022
Last updated
Sep 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35671 MS Primary
Pediatrics Physician 208000000X 35671 MS

Addresses

Primary practice location

1100 Highway 16 E
Carthage, MS 39051-4222

Mailing address

350 N Humphreys Blvd
Memphis, TN 38120-2177
Phone (901) 226-4003

Other practice location 1

17509 Highway 21
Walnut Grove, MS 39189-6505
Phone (601) 267-1320

Other practice location 2

110 Park St
Walnut Grove, MS 39189-6526
Phone (601) 253-0173

Other names 1

  • Graham Hodge Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20241120004721 MS Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 5890134605

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1376285528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N HUMPHREYS BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202177",
            "telephone_number": "901-226-4003",
            "fax_number": "901-227-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 HIGHWAY 16 E",
            "city": "CARTHAGE",
            "state": "MS",
            "postal_code": "390514222",
            "telephone_number": "601-267-1470",
            "fax_number": "601-267-1469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17509 Highway 21",
            "address_purpose": "LOCATION",
            "city": "Walnut Grove",
            "state": "MS",
            "postal_code": "391896505",
            "country_code": "US",
            "telephone_number": "601-267-1320",
            "fax_number": "601-267-5422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Park St",
            "address_purpose": "LOCATION",
            "city": "Walnut Grove",
            "state": "MS",
            "postal_code": "391896526",
            "country_code": "US",
            "telephone_number": "601-253-0173",
            "fax_number": "601-253-0176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HODGE",
        "first_name": "DAVID",
        "middle_name": "GRAHAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-08",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "35671",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "35671",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRAHAM",
            "last_name": "HODGE",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Carthage, MS

Sources for this page

Verify at the official NPI Registry.