Breanna Hodges
Student in an Organized Health Care Education/Training Program in Atlanta, GA. Individual provider (NPI-1).
Details
- NPI
- 1104700830
- Entity type
- Individual (NPI-1)
- Name
- Breanna Hodges
- Sole proprietor
- No
- Enumeration date
- Aug 5, 2025
- Certification date
- Aug 5, 2025
- Last updated
- Aug 5, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
720 Westview Dr SwAtlanta, GA 30310-1458
Phone 404-752-1500
Mailing address
2167 Bolton Dr Nw Apt 1455Atlanta, GA 30318-9317
Phone 716-597-4479
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 3,345 Student in an Organized Health Care Education/Training Program providers in Atlanta · All 39,648 providers in Atlanta
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