Individual provider Active NPI

Brittany Lee Hodges, PA

  • Physician Assistant
  • Winston Salem, NC
National Provider Identifier
1750054052
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-11318 Issued in NC
Practice address
195 Farmstead Rd
Winston Salem, NC 27107-8879
Phone
(914) 787-0130
NPI assigned
Aug 1, 2021
Last updated
Apr 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-11318 NC Primary

Addresses

Primary practice location

195 Farmstead Rd
Winston Salem, NC 27107-8879

Mailing address

195 Farmstead Rd
Winston Salem, NC 27107-8879
Phone (914) 787-0130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220510002269 NC Practitioner - Physician Assistant 7214314384 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
On Site Dermatology of North Carolina PLLCGroup PAC ID 1355560996, 3 clinicians

Practice addresses (Care Compare)

100 Hedrick Dr
Thomasville, NC 27360-6009
Phone (877) 345-5300

1000 Salemtowne Dr
Winston Salem, NC 27106-3294
Phone (877) 345-5300

109 Penny Rd
High Point, NC 27260-2500
Phone (877) 345-5300

1208 New Garden Rd
Greensboro, NC 27410-2679
Phone (877) 345-5300

2766 Grand Oaks Blvd
Burlington, NC 27215-8100
Phone (877) 345-5300

3615 S Mebane St
Burlington, NC 27215-5221
Phone (877) 345-5300

3823 Lawndale Dr
Greensboro, NC 27455-1605
Phone (877) 345-5300

4100 Well Spring Dr
Greensboro, NC 27410-8857
Phone (877) 345-5300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-11318NCMDPhysician Assistant

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1750054052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 FARMSTEAD RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271078879",
            "telephone_number": "914-787-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 FARMSTEAD RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271078879",
            "telephone_number": "914-787-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "BRITTANY",
        "middle_name": "LEE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-01",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-11318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.