MEDICARE: HALEY GRACE HODGES

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	231H00000X	Audiologist

General Provider Information

NPI Number	:	1275485955
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HALEY GRACE HODGES

Provider Business Mailing Address
First Line	:	208 RICE ML
Second Line	:
City	:	SAINT SIMONS ISLAND
State	:	GA
Zip	:	31522-5449
Country	:	US
Telephone Number	:	210-551-2021
Fax Number	:

Provider Business Practice Location Address
First Line	:	3280 HOWELL MILL RD NW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30327-4111
Country	:	US
Telephone Number	:	404-591-1426
Fax Number	:	470-407-4778

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

Provider Enumeration Date	:	02/13/2026
Last Update Date	:	02/13/2026

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Directions to “ HALEY GRACE HODGES ” Practice Location

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