Katie Thomas Hodges, PA-C
Individual provider Active NPI Physician Assistant · Benson, NC
NPI 1669155347 · NPPES record last updated Aug 9, 2023
Key facts
- NPI
- 1669155347
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 001013460 (NC)
- Practice address
- 1 Medical Dr
Benson, NC 27504-1177 - Phone
- (919) 894-1740
- NPI assigned
- Aug 9, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mountcastle Medical and Med Spa PLLC
Practice addresses (Care Compare)
701 S Main St
Lillington, NC 27546-7681
Phone 91051411521325
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240502000270 | NC | Practitioner - Physician Assistant | 4688014046 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001013460 | NC | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 001013460 | NC | Yes |
Addresses
Primary practice location
1 Medical Dr
Benson, NC 27504-1177
Mailing address
3338 US Highway 301 N
Dunn, NC 28334-8388
Other providers in Benson, NC
- Grayson Massey Gravely
- Mark Damian Greenwell
- Sara Mary Hall
- Healing Place of the Carolinas, the
- Thomas Page High
- Chad Lee Hollyfield
- Carl David Horkavy
- James Ross Huggins
- Mary Husted
- Rachid Idrissi
All providers in Benson, NC · Physician Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.