Individual provider Active NPI

Kori Elisabeth Hudgins, MS

  • Addiction (Substance Use Disorder) Counselor
  • Ohatchee, AL
National Provider Identifier
1073083192
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
183 Issued in AL
Practice address
21 Millie Ann LN
Ohatchee, AL 36271-4382
Phone
(256) 624-7207
NPI assigned
Dec 1, 2018
Last updated
Jan 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 183 AL Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

21 Millie Ann LN
Ohatchee, AL 36271-4382

Mailing address

61 Oak Grove Rd
Summerville, GA 30747-5235
Phone (706) 676-4340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1543622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1073083192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 OAK GROVE RD",
            "city": "SUMMERVILLE",
            "state": "GA",
            "postal_code": "307475235",
            "telephone_number": "706-676-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MILLIE ANN LN",
            "city": "OHATCHEE",
            "state": "AL",
            "postal_code": "362714382",
            "telephone_number": "256-624-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDGINS",
        "first_name": "KORI",
        "middle_name": "ELISABETH",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-01",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AL",
            "license": "183",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ohatchee, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.