Active NPI
David M. Hudson, MD
- Internal Medicine Physician
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 306145
- Practice address
- 2551 Greenwood Rd Ste 410
Shreveport, LA 71103-3989 - Phone
- (318) 621-2929
- Fax
- (318) 638-3169
- NPI assigned
- Apr 15, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 306145 | LA | |
| Internal Medicine Physician | 207R00000X | 306145 | LA | Primary |
Addresses
Primary practice location
2551 Greenwood Rd Ste 410
Shreveport, LA 71103-3989
Mailing address
2551 Greenwood Rd Ste 410
Shreveport, LA 71103-3989
Phone (318) 621-2929
Other practice location 1
1501 Kings Hwy
Internal Medicine
Shreveport, LA 71103-4228
Phone (318) 813-2528
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Mississippi School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
405 N Section St
Fairhope, AL 36532-2613
Phone (251) 990-8860
750 Morphy Ave
Fairhope, AL 36532-1812
Phone (251) 435-7289
Hospital & facility affiliations
- Amedisys Home Health of Foley
- Thomas Home Health
- Thomas Hospital
- Mobile Infirmary Medical Center
- North Baldwin Infirmary
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 306145 | LA | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Randall L. Hall, M.D., P.C. | Single Specialty | Current | Accepting new patients |
| Imc-Hospitalists LLC | Single Specialty | Current | Accepting new patients |
| Bay Medical Family Practice, P.C. | Single Specialty | Current | Accepting new patients |
| WK Urgent Care Center-Pierremont | Single Specialty | Current | Accepting new patients |
| Gulf Health Hospitals, Inc | Single Specialty | Past | Accepting new patients |
Locations
405 N Section St
Fairhope, AL 36532
Phone (251) 990-8860
750 Morphy Ave
Fairhope, AL 36532
Phone (251) 928-2375
5 Mobile Infirmary Cir
Mobile, AL 36607
Phone (251) 432-4415
1725 Spring Hill Ave
Mobile, AL 36604
Phone (251) 435-1366
2600 Greenwood Rd
Shreveport, LA 71103
Phone (318) 212-4600
1666 E Bert Kouns Industrial Loop
Ste 105
Shreveport, LA 71105
Phone (318) 212-3520
1202 Louisiana Ave
Shreveport, LA 71101
Phone (318) 212-8946
Interoperability endpoints
- dhudson1@direct.wkhs.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Fairhope, AL
- NPI 1346322039
Single Specialty
-
- Family Medicine Physician
- Shreveport, LA
- NPI 1639115132
Single Specialty
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Foley, AL
- NPI 1013975572
-
- General Acute Care Hospital
- Fairhope, AL
- NPI 1447303227
-
- General Acute Care Hospital
- Bay Minette, AL
- NPI 1134164924
-
- General Acute Care Hospital
- Mobile, AL
- NPI 1558364802
-
- Home Health Agency
- Fairhope, AL
- NPI 1790902435
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674777600000",
"number": "1063831352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2551 GREENWOOD RD STE 410",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711033989",
"telephone_number": "318-621-2929",
"fax_number": "318-638-3169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2551 GREENWOOD RD STE 410",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711033989",
"telephone_number": "318-621-2929",
"fax_number": "318-638-3169"
}
],
"practiceLocations": [
{
"address_1": "1501 Kings Hwy",
"address_2": "Internal Medicine",
"address_purpose": "LOCATION",
"city": "Shreveport",
"state": "LA",
"postal_code": "711034228",
"country_code": "US",
"telephone_number": "318-813-2528",
"fax_number": "318-813-2565",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUDSON",
"first_name": "DAVID",
"middle_name": "M.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-15",
"last_updated": "2023-01-27",
"certification_date": "2023-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "LA",
"license": "306145",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "LA",
"license": "306145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.