Individual provider Active NPI

Pam G Hodges

  • Family Nurse Practitioner
  • Plantersville, MS
National Provider Identifier
1982935623
Registry record updated Jan 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R597775 Issued in MS
Practice address
2464 Main St.
Plantersville, MS 38862-9775
Phone
(662) 842-4877
Fax
(662) 842-4330
NPI assigned
Jan 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R597775 MS Primary

Addresses

Primary practice location

2464 Main St.
Plantersville, MS 38862-9775

Mailing address

P.O. Box 219
Plantersville, MS 38862-9775
Phone (662) 842-4877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100423000765 MS Practitioner - Nurse Practitioner 8325175284 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Mississippi Medical Clinics IncGroup PAC ID 6103736665, 120 clinicians

Practice addresses (Care Compare)

1301 N 2ND St
Booneville, MS 38829-1028
Phone (662) 728-2071

745 S 4TH St
Baldwyn, MS 38824-2612
Phone (662) 365-4100

845 S Madison
Tupelo, MS 38801-4905
Phone (601) 790-5025

860 S Madison St
Tupelo, MS 38801-4905
Phone (662) 377-7150

903 Mississippi Dr
Tupelo, MS 38804-0928
Phone (662) 377-4652

Hospital & facility affiliations

  • North Mississippi Medical Ctr HHA Home health agency, Tupelo, MS, CCN 257002
  • Centerwell Home Health Home health agency, Tupelo, MS, CCN 257303
  • North Mississippi Medical Center Hospital, Tupelo, MS, CCN 250004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Center Current Accepting new patients
North Mississippi Medical Clinics Inc Family CurrentSince Apr 15, 2010 Accepting new patients
Region IV Desoto County Pharmacy CurrentSince Mar 6, 2019 Accepting new patients
Region IV Mental Health Services CurrentSince Mar 6, 2019 Accepting new patients
North Mississippi Medical Clinics Inc CurrentSince Apr 15, 2010 Accepting new patients
Community Care Health Network LLC CurrentSince Aug 1, 2024 Accepting new patients
Plantersville Clinic, Inc Family PastSince Sep 20, 2008 Accepting new patients
Urgent and Family Care of Houston Past Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

1301 N 2nd St
Booneville, MS 38829
Phone (662) 728-2071

1913 Highway 45 N
Columbus, MS 39705
Phone (662) 328-1918

601 Foote St
Corinth, MS 38834
Phone (662) 287-4424

232 Market St
Jackson, MS 39232
Phone (588) 498-6767

845 S Gloster St
Tupelo, MS 38801

450 E President Ave
Tupelo, MS 38801
Phone (662) 377-3204

845 S Madison St
Tupelo, MS 38801
Phone (601) 790-5025

844 S Madison St
Ste B
Tupelo, MS 38801
Phone (662) 377-5300

Interoperability endpoints

  • Direct secure messaging: pamhodges@nmhs.medalliesdirect.net

Organizations & group practices 8

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.

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": "1263945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263945600000",
    "number": "1982935623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 219",
            "city": "PLANTERSVILLE",
            "state": "MS",
            "postal_code": "388629775",
            "telephone_number": "662-842-4877",
            "fax_number": "662-842-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2464 MAIN ST.",
            "city": "PLANTERSVILLE",
            "state": "MS",
            "postal_code": "388629775",
            "telephone_number": "662-842-4877",
            "fax_number": "662-842-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "PAM",
        "middle_name": "G",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-20",
        "last_updated": "2010-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R597775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantersville, MS

Sources for this page

Verify at the official NPI Registry.