Active NPI
Chem Hodges
- Driver
- Cordova, TN
National Provider Identifier
1811665243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 121121441
- Practice address
- 1594 Stable Park CT
Cordova, TN 38016-6193 - Phone
- (901) 549-3655
- NPI assigned
- Aug 31, 2021
- 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 |
|---|---|---|---|---|
| Driver | 172A00000X | 121121441 | TN | Primary |
Addresses
Primary practice location
1594 Stable Park CT
Cordova, TN 38016-6193
Mailing address
1594 Stable Park CT
Cordova, TN 38016-6193
Phone (901) 549-3655
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | securerecords.directcare.html | Health Information Exchange (HIE) |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121121441 | TN | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Direct Care Transport LLC | Driver | Current | 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.
-
- Driver
- Cordova, TN
- NPI 1629746011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630368000000",
"number": "1811665243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1594 STABLE PARK CT",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380166193",
"telephone_number": "901-549-3655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1594 STABLE PARK CT",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380166193",
"telephone_number": "901-549-3655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGES",
"first_name": "CHEM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-31",
"last_updated": "2021-08-31",
"certification_date": "2021-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "TN",
"license": "121121441",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "securerecords.directcare.html",
"affiliation": "N",
"endpointDescription": "mail",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct mail",
"address_1": "1594 Stable Park Ct",
"city": "Cordova",
"state": "TN",
"country_code": "US",
"postal_code": "380166193",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cordova, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.