Organization Active NPI

Hodge & Company LLC

  • Adult Health Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1750855615
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
HODGE & COMPANY LLC
Practice address
12385 Sorrento Rd Ste D4
Pensacola, FL 32507-8656
Phone
(850) 495-9467
Fax
(850) 492-6347
NPI assigned
Jan 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Authorized official

Name
Tanya Hodge, NPNPI 1407998909
Title
MGR
Phone
(850) 516-0486

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

12385 Sorrento Rd Ste D4
Pensacola, FL 32507-8656

Mailing address

PO Box 3779
Pensacola, FL 32516-3779
Phone (850) 516-0486

Other practice location 1

10100 Hillview Dr
Pensacola, FL 32514-5436
Phone (850) 516-0486

Other practice location 2

1101 Office Woods Dr
Pensacola, FL 32504-5937
Phone (850) 805-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220818000614 FL Part B Supplier - Clinic/Group Practice 9638552052 Receives reassigned benefits from 1 practitioner
Practice locations: Pensacola, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1750855615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3779",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325163779",
            "telephone_number": "850-516-0486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12385 SORRENTO RD STE D4",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325078656",
            "telephone_number": "850-495-9467",
            "fax_number": "850-492-6347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10100 Hillview Dr",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325145436",
            "country_code": "US",
            "telephone_number": "850-516-0486",
            "fax_number": "850-492-6347",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 Office Woods Dr",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325045937",
            "country_code": "US",
            "telephone_number": "850-805-2000",
            "fax_number": "850-492-6347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HODGE & COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-14",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "HODGE",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "850-516-0486",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.