Individual provider Active NPI

Hugh O Hodges, M.D.

  • Family Medicine Physician
  • Winder, GA
National Provider Identifier
1609974427
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
013045 Issued in GA
Practice address
314 N Broad St
Suite 130
Winder, GA 30680-8206
Phone
(770) 867-9186
Fax
(770) 867-2163
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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 013045 GA Primary

Addresses

Primary practice location

314 N Broad St
Suite 130
Winder, GA 30680-8206

Mailing address

314 N Broad St
Suite 130
Winder, GA 30680-8206
Phone (770) 867-9186

Other identifiers 2

IdentifierTypeStateIssuer
000038629AMedicaidGA
026661OtherGABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20100119000068 GA Practitioner - Family Practice 3072668847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Georgia School of Medicine, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Physicians, PAGroup PAC ID 7618964966, 2 clinicians

Practice addresses (Care Compare)

314 N Broad St
Suite 130
Winder, GA 30680-8206
Phone (770) 867-9186

Hospital & facility affiliations

  • NGMC Barrow, LLC Hospital, Winder, GA, CCN 110045
  • Northeast Georgia Medical Center, Inc Hospital, Gainesville, GA, CCN 110029
  • St Mary'S Hospital Hospital, Athens, GA, CCN 110006

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Physicians, PA Family Medicine CurrentSince Feb 2, 2022 Accepting new patients

Locations

314 N Broad St
Ste 130
Winder, GA 30680
Phone (770) 867-9186

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 3

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1609974427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 N BROAD ST",
            "address_2": "SUITE 130",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306808206",
            "telephone_number": "770-867-9186",
            "fax_number": "770-867-2163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 N BROAD ST",
            "address_2": "SUITE 130",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306808206",
            "telephone_number": "770-867-9186",
            "fax_number": "770-867-2163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "HUGH",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "013045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000038629A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "026661",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winder, GA

Sources for this page

Verify at the official NPI Registry.