Michael Hodge, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

04808 Issued in SC

Practice address

1622 Clarence Coker Hwy
Turbeville, SC 29162

Phone

(843) 659-5070

Fax

(843) 659-5070

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• McLeod Medical Center-Dillon

  dba McLeod Dillon Emergency

  • Hospitalist Physician
  • Dillon, SC
  • NPI 1720033988
  Medicare reassignment NPD
• McLeod Regional Medical Center of the Pee Dee, Inc

  dba Cbo MRMC Emergency

  • Emergency Medical Services (Emergency Medicine) Physician
  • Florence, SC
  • NPI 1154371433

  Neurology

  Medicare reassignment NPD
• McLeod Medical Center-Dillon

  • Medicare Defined Swing Bed Hospital Unit
  • Dillon, SC
  • NPI 1124487541
  NPD
• McLeod Regional Medical Center of the Pee Dee, Inc

  dba McLeod Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Florence, SC
  • NPI 1871775841
  NPD

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512000000000",
    "number": "1548357445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1594 FREEDOM BLVD",
            "address_2": "#205",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "29505",
            "telephone_number": "843-679-5135",
            "fax_number": "843-679-5132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 CLARENCE COKER HWY",
            "city": "TURBEVILLE",
            "state": "SC",
            "postal_code": "29162",
            "telephone_number": "843-659-5070",
            "fax_number": "843-659-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGE",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2017-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "04808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048086",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Dooley Gerlt, CPHT
• Gibbons Drug Company Inc (Community Pharmacy)
• William Chad Gibbons, RPH
• George Patrick Green, DMD
• Roxanne G Hardy, MCD, CCC-SLP
• JJ Bre Inc (Community Pharmacy of Turbeville)
• Della Lesane-Player
• Lindsey Lloyd, LAT, ATC
• Amanda F McConnell, P.A.
• Catherine Lenise McDowell

• Neurology Physician in Turbeville, SC
• Providers in Turbeville, SC by specialty
• Neurology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.