Rasean T Hodge, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

054221 Issued in GA

Practice address

619 Boulevard NE
Atlanta, GA 30308-2701

Phone

(404) 523-0111

Fax

(888) 291-6290

NPI assigned

Jun 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Augusta Ways Holdings LLC

  dba Joint Regeneration of Augusta

  • Physical Medicine & Rehabilitation Physician
  • Augusta, GA
  • NPI 1780322982
  Medicare reassignment NPD
• Joint Regeneration of Dalton

  • Physical Medicine & Rehabilitation Physician
  • Dalton, GA
  • NPI 1275213951
  Medicare reassignment NPD
• Rome Ways Holdings LLC

  dba Joint Regeneration of Rome

  • Physical Medicine & Rehabilitation Physician
  • Rome, GA
  • NPI 1265170377
  Medicare reassignment NPD
• Acworth Pain Management Center Inc

  • Pain Clinic/Center
  • Acworth, GA
  • NPI 1235354218
  NPD (past)
• Amarc Medical & Research Clinic

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1497951081
  NPD (past)
• In Ae Medical Center PC

  • Geriatric Medicine (Family Medicine) Physician
  • Doraville, GA
  • NPI 1275733966
  NPD (past)
• Loma Clinic

  • Chiropractor
  • Norcross, GA
  • NPI 1861722183

  Family Medicine

  NPD (past)
• Progressive Pain Centers

  • Rehabilitation Chiropractor
  • Decatur, GA
  • NPI 1639432008
  NPD (past)
• Seoul Medical and Pain Clinic Inc

  • Family Medicine Physician
  • Norcross, GA
  • NPI 1649423690
  NPD (past)
• Suwanee Pain Management Center Inc

  • Pain Clinic/Center
  • Suwanee, GA
  • NPI 1487878856
  NPD (past)
• Total Health Medical Center Corporation

  • Specialist
  • Decatur, GA
  • NPI 1538343439
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422316800000",
    "number": "1972543726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 BOULEVARD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082701",
            "telephone_number": "404-523-0111",
            "fax_number": "888-291-6290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 BOULEVARD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082701",
            "telephone_number": "404-523-0111",
            "fax_number": "888-291-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGE",
        "first_name": "RASEAN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2015-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "054221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "956438296A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Ellen Hoder, PT
• Deneen Britanny Hodge
• Kasinda Lee Hodge, ATC, LAT
• Michael David Hodge, M.D.
• Millie Katherine Hodge, MS, RDN
• Samantha Marie Hodge, RN, CPNP-AC
• Hodges King & Reudel Huber DDS PA
• Hodges-Mace, LLC
• Alisha Hodges, LPN
• Breanna Hodges

• Family Medicine Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.