MEDICARE: DR. DAVID NATHAN HODGE LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	761	AL

General Provider Information

NPI Number	:	1285399816
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID NATHAN HODGE LPC

Provider Business Mailing Address
First Line	:	24 PINEWOOD LN
Second Line	:
City	:	JACKSONS GAP
State	:	AL
Zip	:	36861-3884
Country	:	US
Telephone Number	:	334-329-0660
Fax Number	:

Provider Business Practice Location Address
First Line	:	24 PINEWOOD LN
Second Line	:
City	:	JACKSONS GAP
State	:	AL
Zip	:	36861-3884
Country	:	US
Telephone Number	:	334-329-0660
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2021
Last Update Date	:	11/08/2021

Similar Medicare Providers

1881650257 — MR. LAWRENCE WAYNE WIECZOREK CRNA
Practice Location Address:

32 POST OAK LN
JACKSONS GAP, AL
36861-2545

Practice Phone: 251-769-1900
Practice Fax:

1992388862 — JAMIE JEAN SAILORS MS PHD
Practice Location Address:

103 TESSIE DR
JACKSONS GAP, AL
36861-2522

Practice Phone: 334-728-1336
Practice Fax:

1619635745 — HAILEY ANNE HAMBY
Practice Location Address:

392 MOUNTAIN LAUREL DR
JACKSONS GAP, AL
36861-3122

Practice Phone: 770-241-7711
Practice Fax:

1588684344 — PHYLLIS A PEMBERTON CRNA
Practice Location Address:

3316 HIGHWAY 280
ALEXANDER CITY, AL
35010-3369

Practice Phone: 256-329-7120
Practice Fax: 256-329-7600

1013937952 — GENIE A BOLES CRNA
Practice Location Address:

3316 HIGHWAY 280
ALEXANDER CITY, AL
35010-3369

Practice Phone: 256-329-7120
Practice Fax: 256-329-7600

1306866199 — JOHN NICHOLS ELGIN M.D.
Practice Location Address:

3316 HIGHWAY 280
ALEXANDER CITY, AL
35010-3369

Practice Phone: 256-329-7295
Practice Fax: 256-329-7186

Directions to “ DR. DAVID NATHAN HODGE LPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.