MEDICARE: ALISHA HODGES LPN

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	164W00000X	Licensed Practical Nurse	LPN065226	GA

General Provider Information

NPI Number	:	1285586156
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISHA HODGES LPN

Provider Business Mailing Address
First Line	:	2017 BEN HILL CT SW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30331-2539
Country	:	US
Telephone Number	:	678-741-3900
Fax Number	:	678-741-3901

Provider Business Practice Location Address
First Line	:	120 INTERSTATE NORTH PKWY SE STE 420
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-2158
Country	:	US
Telephone Number	:	678-741-3900
Fax Number	:	678-741-3901

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

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/12/2026

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