Individual provider Active NPI

Frederick T Hodges, MD

  • Obstetrics & Gynecology Physician
  • Memphis, TN
National Provider Identifier
1619909231
Registry record updated Mar 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD0000034304 Issued in TN
Practice address
3315 Hacks Cross Rd Ste 109
Memphis, TN 38125-8935
Phone
(901) 417-8551
Fax
(901) 207-4563
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD0000034304 TN Primary

Addresses

Primary practice location

3315 Hacks Cross Rd Ste 109
Memphis, TN 38125-8935

Mailing address

3315 Hacks Cross Rd Ste 109
Memphis, TN 38125-8935
Phone (901) 417-8551

Other identifiers 1

IdentifierTypeStateIssuer
3855748MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20051117000970 TN Practitioner - Obstetrics/Gynecology 9436178555 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
34304TNMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
MD0000034304TNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Consolidated Health Services of Memphis, PLLC CurrentSince Mar 21, 2020 Accepting new patients
Southwind Gynecology & Wellness Center PLLC CurrentSince Jan 6, 2020 Accepting new patients

Locations

4730 Riverdale Rd
Ste 6
Memphis, TN 38141
Phone (901) 481-5444

3315 Hacks Cross Rd
Ste 109
Memphis, TN 38125
Phone (662) 560-3338

Organizations & group practices 2

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1619909231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 HACKS CROSS RD STE 109",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381258935",
            "telephone_number": "901-417-8551",
            "fax_number": "901-207-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 HACKS CROSS RD STE 109",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381258935",
            "telephone_number": "901-417-8551",
            "fax_number": "901-207-4563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "FREDERICK",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "MD0000034304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3855748",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.