MEDICARE: DR. JODI JANE HAWES M.D.

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	2084N0400X	Neurology Physician	127995	NC

General Provider Information

NPI Number	:	1992975528
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JODI JANE HAWES M.D.

Provider Business Mailing Address
First Line	:	2116 FRONT ST APT B3
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27705-2568
Country	:	US
Telephone Number	:	919-943-5440
Fax Number	:

Provider Business Practice Location Address
First Line	:	BOX 2905
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27710-0001
Country	:	US
Telephone Number	:	919-684-0139
Fax Number	:	919-684-0131

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

Provider Enumeration Date	:	03/11/2008
Last Update Date	:	02/24/2026

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