Individual provider Active NPI

William Luke Hodges, NP

  • Gerontology Nurse Practitioner
  • Columbus, MS
National Provider Identifier
1710655576
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
906351 Issued in MS
Practice address
255 Baptist Blvd Ste 402
Columbus, MS 39705-2006
Phone
(662) 244-2550
NPI assigned
Sep 5, 2021
Last updated
Apr 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 906351 MS Primary

Addresses

Primary practice location

255 Baptist Blvd Ste 402
Columbus, MS 39705-2006

Mailing address

2520 5TH St N
Columbus, MS 39705-2008
Phone (662) 378-7049

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240125002535 MS Practitioner - Nurse Practitioner 4789037755 Reassigns benefits to 3 organizations
I20260115000169 AL Practitioner - Nurse Practitioner 4789037755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Relias Hospitalist Medicine Specialists of Amory LLCGroup PAC ID 0143656165, 15 clinicians

Practice addresses (Care Compare)

1105 Earl Frye Blvd
Amory, MS 38821-5500
Phone (662) 256-7111

255 Baptist Blvd
Suite 402
Columbus, MS 39705-2006
Phone (662) 240-1412

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Relias Hospitalist Medicine Specialists of Amory LLC CurrentSince Dec 1, 2025 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Feb 23, 2024 Accepting new patients
Signify Health, LLC CurrentSince Apr 4, 2025 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Feb 23, 2024 Accepting new patients

Locations

4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 538-0244

1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111

2520 5th St N
Columbus, MS 39705
Phone (662) 224-1000

255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288

255 Baptist Blvd
Ste 402
Columbus, MS 39705
Phone (662) 240-1412

460 Briarwood Dr
Ste 400
Jackson, MS 39206
Phone (601) 203-1016

400 Hospital Rd
Starkville, MS 39759
Phone (662) 323-4320

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 4

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 2

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": "1630800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1710655576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 5TH ST N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052008",
            "telephone_number": "662-378-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 BAPTIST BLVD STE 402",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052006",
            "telephone_number": "662-244-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "WILLIAM",
        "middle_name": "LUKE",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-05",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MS",
            "license": "906351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, MS

Sources for this page

Verify at the official NPI Registry.