Individual provider Active NPI

Leroy W Hodges, M.D.

  • Surgery Physician
  • Dothan, AL
National Provider Identifier
1700856432
Registry record updated Oct 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD-50086 Issued in IA
Practice address
4300 W Main St Ste 24
Dothan, AL 36305-1312
Phone
(334) 793-1534
Fax
(334) 793-6840
NPI assigned
Jan 25, 2006
Last updated
Oct 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 66366 TN
Surgery Physician 208600000X 30115 MN
Surgery Physician 208600000X MD-50086 IA Primary
Surgery Physician 208600000X MD41466 AL

Addresses

Primary practice location

4300 W Main St Ste 24
Dothan, AL 36305-1312

Mailing address

1220 Chatburn Ave
Harlan, IA 51537-2009
Phone (712) 755-4376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20210302001816 AL Practitioner - General Surgery 2163430554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vaughan Physician Practices, LLCGroup PAC ID 8123126851, 12 clinicians

Practice addresses (Care Compare)

1023 Medical Ctr Pkwy
Suite 309
Selma, AL 36701-7738
Phone (334) 875-7509

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy73
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux34
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66366TNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vaughan Physician Practices LLC CurrentSince Jun 1, 2024 Accepting new patients
Vaughan Physician Practices LLC Surgery CurrentSince Jun 1, 2024 Accepting new patients
Vaughan Physician Practices, LLC Current Accepting new patients
Hodges Surgical Clinic, P.a. Surgery PastSince Aug 22, 2007 Accepting new patients
Vaughan Physician Practices LLC Surgery Past Accepting new patients

Locations

1023 Medical Center Pkwy
Ste 305
Selma, AL 36701
Phone (334) 801-9952

1023 Medical Center Pkwy
Ste 309
Selma, AL 36701
Phone (334) 875-7509

1023 Medical Center Pkwy
Ste 401
Selma, AL 36701
Phone (334) 875-7173

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19364/brand/1/csg/21/fhir/r4
  • Direct secure messaging: le.roy.hodges.1@3503.direct.athenahealth.com
  • Direct secure messaging: leroy.hodges.1@19364.direct.athenahealth.com
  • Direct secure messaging: leroy.hodges.1@3503.direct.athenahealth.com

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.

Hospital & facility affiliations 1

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792972800000",
    "number": "1700856432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 CHATBURN AVE",
            "city": "HARLAN",
            "state": "IA",
            "postal_code": "515372009",
            "telephone_number": "712-755-4376",
            "fax_number": "712-755-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 W MAIN ST STE 24",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051312",
            "telephone_number": "334-793-1534",
            "fax_number": "334-793-6840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "LEROY",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2026-10-26",
        "certification_date": "2026-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "66366",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MN",
            "license": "30115",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IA",
            "license": "MD-50086",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "MD41466",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.