Individual provider Active NPI

Kimberly Nicole Hodge, MD

  • Obstetrics & Gynecology Physician
  • Hammond, LA
National Provider Identifier
1770858011
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
306583 Issued in LA
Practice address
15813 Paul Vega MD Dr Ste 201
Hammond, LA 70403-1431
Phone
(985) 230-7650
Fax
(985) 230-7655
NPI assigned
Mar 20, 2012
Last updated
Aug 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X 306583 LA Primary

Addresses

Primary practice location

15813 Paul Vega MD Dr Ste 201
Hammond, LA 70403-1431

Mailing address

15748 Medical Arts Palza
Hammond, LA 70403-2865
Phone (985) 542-0663

Other practice location 1

1401 Foucher St
New Orleans, LA 70115-3515
Phone (985) 504-6041

Other practice location 2

15748 Medical Arts Dr
Hammond, LA 70403-1446
Phone (985) 542-0663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20171116002602 LA Practitioner - Obstetrics/Gynecology 4385862309 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Louisiana State University School of Medicine in New Orleans, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Oaks Obstetrics and GynecologyGroup PAC ID 7618976440, 2 clinicians

Practice addresses (Care Compare)

1202 S Tyler St
Covington, LA 70433-2330
Phone (985) 898-3743

15748 Medical Arts Dr
Hammond, LA 70403-1446
Phone (985) 542-0663

15748 Medical Arts Plaza
Hammond, LA 70403-1446

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
306583LAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Tammany Parish Hospital Service District No 1 CurrentSince Apr 1, 2025 Accepting new patients
North Oaks Physician Group, LLC CurrentSince Sep 1, 2025 Accepting new patients
St. Tammany Parish Hospital Service District No 1 CurrentSince Apr 1, 2025 Accepting new patients
North Oaks Obstetrics & Gynecology Obstetrics CurrentSince Aug 14, 2017 Accepting new patients
North Oaks Medical Center, LLC CurrentSince Sep 1, 2025 Accepting new patients
North Oaks Medical Center, LLC Past Accepting new patients
North Oaks Obstetrics & Gynecology Past Accepting new patients

Locations

1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743

15748 Medical Arts Dr
Hammond, LA 70403
Phone (985) 542-0663

15778 Medical Arts Dr
Hammond, LA 70403
Phone (985) 542-0663

15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682

15813 Paul Vega Md Dr
Ste 200
Hammond, LA 70403
Phone (985) 230-7650

15813 Paul Vega Md Dr
Ste 201
Hammond, LA 70403
Phone (985) 230-1580

17199 Spring Ranch Rd
Ste 210G
Livingston, LA 70754
Phone (225) 686-4960

Organizations & group practices 7

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": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1770858011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15748 MEDICAL ARTS PALZA",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704032865",
            "telephone_number": "985-542-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15813 PAUL VEGA MD DR STE 201",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031431",
            "telephone_number": "985-230-7650",
            "fax_number": "985-230-7655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Foucher St",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701153515",
            "country_code": "US",
            "telephone_number": "985-504-6041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15748 Medical Arts Dr",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "704031446",
            "country_code": "US",
            "telephone_number": "985-542-0663",
            "fax_number": "985-542-0663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HODGE",
        "first_name": "KIMBERLY",
        "middle_name": "NICOLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-20",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "306583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.