Individual provider Active NPI

Joshua Hodge, M.D.

  • Family Medicine Physician
  • Santa Rosa Beach, FL
National Provider Identifier
1467540054
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD419885 Issued in PA
Practice address
361 Greenway Trail
Santa Rosa Beach, FL 32459-5589
Phone
(850) 892-8015
Fax
(850) 892-8457
NPI assigned
Oct 10, 2006
Last updated
Apr 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD419885 PA Primary

Addresses

Primary practice location

361 Greenway Trail
Santa Rosa Beach, FL 32459-5589

Mailing address

362 State Highway 83
Defuniak Springs, FL 32433-3800
Phone (850) 892-8015

Other practice location 1

36500 Emerald Coast Pkwy
Destin, FL 32541-4713
Phone (850) 837-0032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210412002198 FL Practitioner - Family Practice 2860631520 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Chicago, Pritzker School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sacred Heart Health System IncGroup PAC ID 3779491386, 373 clinicians

Practice addresses (Care Compare)

36500 Emerald Coast Pkwy
Destin, FL 32541-4713
Phone (850) 416-1575

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Health CurrentSince Dec 3, 2021 Accepting new patients
Panhandle Emergency Physicians a Div of Sacred Heart Hosp Pensacola CurrentSince Oct 13, 2022 Accepting new patients
Sacred Heart Health System, Inc. CurrentSince Jun 14, 2023 Accepting new patients
Sacred Heart Health System Inc CurrentSince Jun 14, 2023 Accepting new patients
Florida Department of Health CurrentSince Dec 3, 2021 Accepting new patients
Sacred Heart Health System, Inc. CurrentSince Apr 7, 2021 Accepting new patients
Sacred Heart Health System, Inc. Current Accepting new patients
Walton County Health Department PastSince Jan 1, 2025 Accepting new patients

Locations

362 State Highway 83
Defuniak Springs, FL 32433
Phone (850) 892-8015

36500 Emerald Coast Pkwy
Destin, FL 32541
Phone (850) 269-0301

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

4451 Bayou Blvd
Pensacola, FL 32503
Phone (850) 416-7619

4501 N Davis Hwy
Ste A
Pensacola, FL 32503
Phone (850) 476-9000

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

Interoperability endpoints

  • Direct secure messaging: joshua.hodge.1@9582.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1467540054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 STATE HIGHWAY 83",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324333800",
            "telephone_number": "850-892-8015",
            "fax_number": "850-892-8457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 GREENWAY TRAIL",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324595589",
            "telephone_number": "850-892-8015",
            "fax_number": "850-892-8457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36500 Emerald Coast Pkwy",
            "address_purpose": "LOCATION",
            "city": "Destin",
            "state": "FL",
            "postal_code": "325414713",
            "country_code": "US",
            "telephone_number": "850-837-0032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HODGE",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD419885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa Beach, FL

Sources for this page

Verify at the official NPI Registry.