NPIMap

Individual provider Active NPI

Marnie Hudson, PA-C

  • Physician Assistant
  • Lynchburg, VA
National Provider Identifier
1023073608
Registry record updated Apr 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
01124 Issued in WV
Practice address
2138 Langhorne Rd
Lynchburg, VA 24501-1400
Phone
(434) 947-3920
Fax
(434) 947-3924
NPI assigned
Apr 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 01124 WV Primary
Physician Assistant 363A00000X 0110002473 VA

Addresses

Primary practice location

2138 Langhorne Rd
Lynchburg, VA 24501-1400

Mailing address

2138 Langhorne Rd
Lynchburg, VA 24501-1400
Phone (434) 947-3920

Other identifiers 1

IdentifierTypeStateIssuer
1023073608MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070502000059 VA Practitioner - Physician Assistant 7214982750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Centra Medical Group LLCGroup PAC ID 4789606088, 709 clinicians

Practice addresses (Care Compare)

1901 Tate Springs Rd
Lynchburg, VA 24501-1109
Phone (434) 947-3033

2138 Langhorne Rd
Lynchburg, VA 24501-1400
Phone (434) 200-2900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.16 of 100Reported as apm
Quality
83.58
Promoting interoperability
94
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110002473VAMDPhysician Assistant
01124WVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Centra Medical Group, LLC CurrentSince Mar 1, 2019 Accepting new patients
Centra Health Professional Services, LLC CurrentSince Mar 1, 2019 Accepting new patients
Centra Medical Group, LLC PastSince May 25, 2025 Accepting new patients
Neurological Associates, Inc. Past Accepting new patients

Locations

1937 Thomson Dr
Lynchburg, VA 24501
Phone (434) 200-6965

2125 Langhorne Rd
Ste 304
Lynchburg, VA 24501
Phone (434) 200-3920

2125 Langhorne Rd
Ste 503
Lynchburg, VA 24501
Phone (434) 947-3963

2125 Langhorne Rd
Ste 504
Lynchburg, VA 24501
Phone (434) 528-2194

1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101

2215 Landover Pl
Lynchburg, VA 24501
Phone (434) 947-3900

2138 Langhorne Rd
Lynchburg, VA 24501
Phone (434) 200-2900

1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1023073608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2138 LANGHORNE RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011400",
            "telephone_number": "434-947-3920",
            "fax_number": "434-947-3924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2138 LANGHORNE RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011400",
            "telephone_number": "434-947-3920",
            "fax_number": "434-947-3924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "MARNIE",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "01124",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110002473",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023073608",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.