NPIMap

Organization Active NPI

Sunbelt Medical Group LLC

  • Clinic/Center
  • Tucson, AZ
National Provider Identifier
1104354752
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SUNBELT MEDICAL GROUP LLC
Practice address
3988 E Fort Lowell Rd
Tucson, AZ 85712-1010
Phone
(520) 488-5291
NPI assigned
May 26, 2017
Last updated
Apr 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Authorized official

Name
Edward J Hudson
Title
Chief Financial Officer
Phone
(520) 322-6274

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3988 E Fort Lowell Rd
Tucson, AZ 85712-1010

Mailing address

2850 North Country Club Road
Tucson, AZ 85716-1910
Phone (520) 322-6274

Other practice location 1

6264 E Grant Rd
Tucson, AZ 85712-5882
Phone (520) 488-5291

Other practice location 2

2850 North Country Club Road
Tucson, AZ 85716-1910
Phone (520) 322-6274

Other practice location 3

4739 N 1st Ave
Tucson, AZ 85718-5610
Phone (520) 614-6617

Other practice location 4

1601 N St. Mary's Rd
Tucson, AZ 85745
Phone (520) 490-1196

Other practice location 5

7005 N Oracle Rd
Tucson, AZ 85704-4329
Phone (520) 771-0177

Other identifiers 2

IdentifierTypeStateIssuer
7804700001OtherDEMPOS
274404MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170627003322 AZ Part B Supplier - Clinic/Group Practice 4082983465 Receives reassigned benefits from 41 practitioners
Practice locations: Yuma, AZ; Tucson, AZ; Sells, AZ; Gilbert, AZ

National Provider Directory

National Provider Directory

Locations

2224 N Craycroft Rd
Tucson, AZ 85712
Phone (520) 896-1400

2761 N Country Club Rd
Ste 201
Tucson, AZ 85716

3988 E Fort Lowell Rd
Tucson, AZ 85712
Phone (520) 209-1919

6130 N La Cholla Blvd
Ste 11
Tucson, AZ 85741

Practitioners & affiliated clinicians

Practitioners 47

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1104354752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 NORTH COUNTRY CLUB ROAD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857161910",
            "telephone_number": "520-322-6274",
            "fax_number": "520-609-4496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3988 E FORT LOWELL RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121010",
            "telephone_number": "520-488-5291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6264 E Grant Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857125882",
            "country_code": "US",
            "telephone_number": "520-488-5291",
            "fax_number": "520-689-6810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2850 North Country Club Road",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857161910",
            "country_code": "US",
            "telephone_number": "520-322-6274",
            "fax_number": "520-509-4496",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4739 N 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857185610",
            "country_code": "US",
            "telephone_number": "520-614-6617",
            "fax_number": "520-614-6697",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1601 N St. Mary's Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "85745",
            "country_code": "US",
            "telephone_number": "520-490-1196",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7005 N Oracle Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857044329",
            "country_code": "US",
            "telephone_number": "520-771-0177",
            "fax_number": "520-300-7316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUNBELT MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-26",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "520-322-6274"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEMPOS",
            "identifier": "7804700001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274404",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.