Active NPI
Kari Dawn Hodges
- Speech-Language Pathologist
- Perry, GA
National Provider Identifier
1679870190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- PCET001617
- Practice address
- 902 Northside Dr
Perry, GA 31069-3344 - Phone
- (478) 987-1610
- Fax
- (973) 965-4580
- NPI assigned
- Feb 18, 2011
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | PCET001617 | GA | Primary |
Addresses
Primary practice location
902 Northside Dr
Perry, GA 31069-3344
Mailing address
902 Northside Dr
Perry, GA 31069-3344
Phone (478) 987-1610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCET001617 | GA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297987200000",
"number": "1679870190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 NORTHSIDE DR",
"city": "PERRY",
"state": "GA",
"postal_code": "310693344",
"telephone_number": "478-987-1610",
"fax_number": "973-965-4580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 NORTHSIDE DR",
"city": "PERRY",
"state": "GA",
"postal_code": "310693344",
"telephone_number": "478-987-1610",
"fax_number": "973-965-4580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGES",
"first_name": "KARI",
"middle_name": "DAWN",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-18",
"last_updated": "2011-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "PCET001617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Perry, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.