Individual provider Active NPI

Gary Hodge II, MD

  • Sports Medicine (Family Medicine) Physician
  • Laurel, MS
National Provider Identifier
1801457064
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
37133 Issued in MS
Practice address
1002 Jefferson Street, Suite 350
Laurel, MS 39440
Phone
(601) 649-5990
Fax
(601) 425-7510
NPI assigned
Jun 27, 2019
Last updated
Oct 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 37133 MS Primary
Sports Medicine (Family Medicine) Physician 207QS0010X 41796 AL

Addresses

Primary practice location

1002 Jefferson Street, Suite 350
Laurel, MS 39440

Mailing address

PO Box 247
Laurel, MS 39441-0247
Phone (601) 399-6169

Other practice location 1

1008 N 15th Ave
Laurel, MS 39440-2656
Phone (601) 426-5125

Other practice location 2

300 Greeno Rd S
Fairhope, AL 36532-1905
Phone (251) 929-3434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20220727003789 AL Practitioner - Family PracticePractitioner - Sports Medicine 7517349236 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
University of Mississippi School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imc-Eastern Shore Adult Medicine, LLCGroup PAC ID 3375718042, 19 clinicians

Practice addresses (Care Compare)

300 Greeno Rd S
Fairhope, AL 36532-1905
Phone (251) 929-3424

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41796ALMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Care, LLC Family Medicine CurrentSince Jul 7, 2022 Accepting new patients
Imc -Gulf Orthopaedics LLC CurrentSince Aug 1, 2023 Accepting new patients
Imc -Gulf Orthopaedics LLC CurrentSince Aug 1, 2023 Accepting new patients
American Family Care, LLC CurrentSince Jul 7, 2022 Accepting new patients
Imc-Eastern Shore Adult Medicine, LLC CurrentSince Apr 1, 2024 Accepting new patients
South Central Clinics, Inc PastSince Aug 1, 2026 Accepting new patients
South Central Clinics, Inc PastSince Dec 22, 2019 Accepting new patients

Locations

300 Greeno Rd S
Fairhope, AL 36532
Phone (251) 928-9560

300 Greeno Rd S
#B
Fairhope, AL 36532
Phone (251) 929-3424

341 Greeno Rd N
Fairhope, AL 36532
Phone (251) 210-1320

5569 Grove Blvd
Ste 121
Hoover, AL 35226
Phone (205) 637-2600

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

1720 Spring Hill Ave
Fl 3
Mobile, AL 36604
Phone (251) 435-1164

2970 Pelham Pkwy
Pelham, AL 35124
Phone (205) 620-6006

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.

Hospital & facility affiliations 3

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": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1801457064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394410247",
            "telephone_number": "601-399-6169",
            "fax_number": "601-399-6281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 JEFFERSON STREET, SUITE 350",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "39440",
            "telephone_number": "601-649-5990",
            "fax_number": "601-425-7510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1008 N 15th Ave",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MS",
            "postal_code": "394402656",
            "country_code": "US",
            "telephone_number": "601-426-5125",
            "fax_number": "601-426-5126",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Greeno Rd S",
            "address_purpose": "LOCATION",
            "city": "Fairhope",
            "state": "AL",
            "postal_code": "365321905",
            "country_code": "US",
            "telephone_number": "251-929-3434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HODGE",
        "first_name": "GARY",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-27",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "MS",
            "license": "37133",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "AL",
            "license": "41796",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MS

Sources for this page

Verify at the official NPI Registry.