Individual provider Active NPI

Leslee Evans Hudgins, DO

  • Neurology Physician
  • Little River, SC
National Provider Identifier
1104034156
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
1067 Issued in SC
Practice address
3980 Highway 9 E
Suite 340
Little River, SC 29566-7832
Phone
(843) 390-8310
Fax
(843) 390-8319
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 1067 SC Primary

Addresses

Primary practice location

3980 Highway 9 E
Suite 340
Little River, SC 29566-7832

Mailing address

PO Box 3239
Florence, SC 29502-3239
Phone (843) 390-8310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070725000005 SC Practitioner - Neurology 0042311706 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1067SCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Physician Associates II Neurology Current Accepting new patients
McLeod Physician Associates II CurrentSince Jan 1, 2012 Accepting new patients
McLeod Physician Associates II CurrentSince Jan 1, 2012 Accepting new patients
Loris Community Hospital District Past Accepting new patients

Locations

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

4000 Highway 9 E
Ste 250
Little River, SC 29566
Phone (843) 366-3891

3980 Highway 9 E
Ste 360
Little River, SC 29566
Phone (843) 667-1891

3980 Highway 9 E
Ste 340
Little River, SC 29566
Phone (843) 390-8302

3655 Mitchell St
Loris, SC 29569
Phone (843) 716-7000

3418 Casey St
Ste A
Loris, SC 29569
Phone (843) 716-7911

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.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328745600000",
    "number": "1104034156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3239",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295023239",
            "telephone_number": "843-390-8310",
            "fax_number": "843-390-8319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 HIGHWAY 9 E",
            "address_2": "SUITE 340",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295667832",
            "telephone_number": "843-390-8310",
            "fax_number": "843-390-8319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDGINS",
        "first_name": "LESLEE",
        "middle_name": "EVANS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2012-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "1067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little River, SC

Sources for this page

Verify at the official NPI Registry.