Active NPI
Lucy B Hodges, FPNP
- Psychiatric/Mental Health Nurse Practitioner
- Greenwood, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R537179
- Practice address
- 1303 River Rd
Greenwood, MS 38930-4029 - Phone
- (662) 299-2809
- Fax
- (662) 453-3581
- NPI assigned
- Jun 27, 2008
- Last updated
- Oct 30, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R537179 | MS | Primary |
Addresses
Primary practice location
1303 River Rd
Greenwood, MS 38930-4029
Mailing address
1303 River Rd
Greenwood, MS 38930-4029
Phone (662) 299-2809
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
370 Courthouse Rd
Suite 106
Gulfport, MS 39507-1889
Phone (228) 865-1330
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Family Practice Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R537179 | MS | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lucy B Hodges RN FPNP PLLC | Current | Accepting new patients | |
| Primesource Nursing Services, Inc | Psychiatric/Mental Health | Current | Accepting new patients |
| Primesource Nursing Services, Inc | Current | Accepting new patients | |
| Region VI Community Mental Health Commission | Past | Accepting new patients | |
| Garden Park | Past | Accepting new patients |
Locations
1966 Hill Dr
Grenada, MS 38901
Phone (662) 226-2442
370 Courthouse Rd
Ste 106
Gulfport, MS 39507
Organizations & group practices 5
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.
-
- Family Nurse Practitioner
- Gulfport, MS
- NPI 1962573170
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Greenwood, MS
- NPI 1023367455
-
- Psychiatric/Mental Health Nurse Practitioner
- Gulfport, MS
- NPI 1952884652
-
dba Region VI Mental Health/Mental Retardation Commission
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Greenwood, MS
- NPI 1932437209
-
dba Life Help
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Greenwood, MS
- NPI 1154433233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351555200000",
"number": "1639331994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1303 RIVER RD",
"city": "GREENWOOD",
"state": "MS",
"postal_code": "389304029",
"telephone_number": "662-299-2809",
"fax_number": "662-453-3581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 RIVER RD",
"city": "GREENWOOD",
"state": "MS",
"postal_code": "389304029",
"telephone_number": "662-299-2809",
"fax_number": "662-453-3581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGES",
"first_name": "LUCY",
"middle_name": "B",
"name_prefix": "Mrs.",
"credential": "FPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-27",
"last_updated": "2012-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MS",
"license": "R537179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.