Individual provider Active NPI

David M. Hudson, MD

  • Internal Medicine Physician
  • Shreveport, LA
National Provider Identifier
1063831352
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
306145 Issued in LA
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

Updated by the provider on Jan 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 306145 LA
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170907002880 LA Practitioner - Internal Medicine 3870891146 Reassigns benefits to 1 organization
I20240522001327 AL Practitioner - Internal MedicinePractitioner - Geriatric Medicine 3870891146 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
University of Mississippi School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Medical Family Practice, P.C.Group PAC ID 6800978974, 3 clinicians
Imc-Hospitalists LLCGroup PAC ID 2264727155, 83 clinicians

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 Home health agency, Foley, AL, CCN 017069
  • Thomas Home Health Home health agency, Fairhope, AL, CCN 017148
  • Thomas Hospital Hospital, Fairhope, AL, CCN 010100
  • Mobile Infirmary Medical Center Hospital, Mobile, AL, CCN 010113
  • North Baldwin Infirmary Hospital, Bay Minette, AL, CCN 010129

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
306145LAMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Randall L. Hall, M.D., P.C. Single Specialty Current Accepting new patients
Imc-Hospitalists LLC Single Specialty CurrentSince Jul 1, 2024 Accepting new patients
Bay Medical Family Practice, P.C. Single Specialty CurrentSince Jul 1, 2024 Accepting new patients
WK Urgent Care Center-Pierremont Single Specialty CurrentSince Jan 1, 2018 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.