Individual provider Active NPI

Lydia Hodge, APRN,FNP

  • Family Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1578136701
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-150465 Issued in AL
Practice address
1 Perimeter Park S Ste 195a
Birmingham, AL 35243-2327
Phone
(866) 849-0692
Fax
(888) 973-8821
NPI assigned
Jul 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0037951 OH
Family Nurse Practitioner 363LF0000X 36286 TN
Family Nurse Practitioner 363LF0000X 1184116 TX
Family Nurse Practitioner 363LF0000X 1-150465 AL Primary
Family Nurse Practitioner 363LF0000X TPAN2026 FL
Family Nurse Practitioner 363LF0000X 5023717 NC

Addresses

Primary practice location

1 Perimeter Park S Ste 195a
Birmingham, AL 35243-2327

Mailing address

PO Box 211699
Eagan, MN 55121-3699
Phone (866) 849-0692

Other practice location 1

148 J C Mauldin Hwy
Killen, AL 35645-9106
Phone (256) 757-5353

Other practice location 2

1912 AL Highway 157
Cullman, AL 35058-0609
Phone (256) 737-2000

Other practice location 3

880 SW 145th Ave Ste 202
Pembroke Pines, FL 33027-6171
Phone (866) 849-0692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240408001230 AL Practitioner - Nurse Practitioner 5799121216 Reassigns benefits to 1 organization
I20240530003654 TN Practitioner - Nurse Practitioner 5799121216 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5023717NCMDFamily Nurse Practitioner
0037951OHMDFamily Nurse Practitioner
1184116TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Devoted Medical Group Professional Corporation CurrentSince May 22, 2024 Accepting new patients
Devoted Medical Group Inc CurrentSince Mar 5, 2024 Accepting new patients
Killen Clinic Family Medicine CurrentSince Sep 1, 2021 Accepting new patients

Locations

148 J C Mauldin Hwy
Killen, AL 35645
Phone (256) 757-5353

880 SW 145th Ave
Ste 202
Pembroke Pines, FL 33027
Phone (615) 275-6612

3200 West End Ave
Nashville, TN 37203
Phone (615) 510-1646

Organizations & group practices 3

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": "1627084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1578136701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211699",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551213699",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PERIMETER PARK S STE 195A",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352432327",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "148 J C Mauldin Hwy",
            "address_purpose": "LOCATION",
            "city": "Killen",
            "state": "AL",
            "postal_code": "356459106",
            "country_code": "US",
            "telephone_number": "256-757-5353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1912 AL Highway 157",
            "address_purpose": "LOCATION",
            "city": "Cullman",
            "state": "AL",
            "postal_code": "350580609",
            "country_code": "US",
            "telephone_number": "256-737-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "880 SW 145th Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330276171",
            "country_code": "US",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HODGE",
        "first_name": "LYDIA",
        "credential": "APRN,FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-24",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0037951",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "36286",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1184116",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-150465",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "TPAN2026",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5023717",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.