Active NPI
Timothy Hodges, MD
- Family Medicine Physician
- Huntersville, NC
National Provider Identifier
1780796789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2006-01288
- Practice address
- 9726 Sam Furr Rd
Huntersville, NC 28078-8218 - Phone
- (704) 801-3310
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2006-01288 | NC | Primary |
Addresses
Primary practice location
9726 Sam Furr Rd
Huntersville, NC 28078-8218
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
705 Griffith St
Suite 100
Davidson, NC 28036-9304
Phone (704) 801-7900
Other practice location 2
9908 Couloak Dr
Suite 202
Charlotte, NC 28216-8678
Phone (704) 801-3050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006-01288 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presence Service Corporation | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Bolingbrook, IL
- NPI 1831204536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567468800000",
"number": "1780796789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19305",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282199305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9726 SAM FURR RD",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280788218",
"telephone_number": "704-801-3310"
}
],
"practiceLocations": [
{
"address_1": "705 Griffith St",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Davidson",
"state": "NC",
"postal_code": "280369304",
"country_code": "US",
"telephone_number": "704-801-7900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9908 Couloak Dr",
"address_2": "Suite 202",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282168678",
"country_code": "US",
"telephone_number": "704-801-3050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HODGES",
"first_name": "TIMOTHY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2019-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2006-01288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.