Individual provider Active NPI

Michelle Lee Hudson, CRNP

  • Family Nurse Practitioner
  • Clanton, AL
National Provider Identifier
1104362987
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-110692 Issued in AL
Practice address
2030 Lay Dam Rd
Clanton, AL 35045-8344
Phone
(205) 258-4400
NPI assigned
Jan 17, 2017
Last updated
Jan 17, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-110692 AL Primary

Addresses

Primary practice location

2030 Lay Dam Rd
Clanton, AL 35045-8344

Mailing address

2030 Lay Dam Rd
Clanton, AL 35045-8344
Phone (205) 258-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170330002040 AL Practitioner - Nurse Practitioner 1456636620 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advantage Family Care IncGroup PAC ID 7618103748, 56 clinicians
After Hours Clinic IncGroup PAC ID 4880635945, 8 clinicians
After Hours Clinic Inc SumitonGroup PAC ID 3375624182, 6 clinicians

Practice addresses (Care Compare)

1539 Montgomery Hwy
Suite 101
Vestavia Hills, AL 35216-4557
Phone (659) 599-9513

1800 Birmingham Ave
Jasper, AL 35501-5461
Phone (205) 384-4585

385 Bryan Rd
Suite 140
Sumiton, AL 35148-3438
Phone (205) 648-0240

Merit-based Incentive Payment System (MIPS)

Final score
70.43 of 100Reported as group
Quality
65.59
Improvement activities
40
Cost
64.54

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-110692ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Family Care Inc CurrentSince Aug 28, 2024 Accepting new patients
After Hours Clinic Inc CurrentSince Dec 3, 2017 Accepting new patients
Paragon Contracting Services LLC CurrentSince Mar 1, 2017 Accepting new patients
American Family Care, LLC CurrentSince Feb 12, 2018 Accepting new patients
Advantage Family Care, Inc. CurrentSince Aug 28, 2024 Accepting new patients
American Family Care, LLC CurrentSince Feb 12, 2018 Accepting new patients
After Hours Clinic Inc Sumiton CurrentSince Dec 3, 2017 Accepting new patients

Locations

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

2030 Lay Dam Rd
Clanton, AL 35045
Phone (205) 258-4400

1115 Beltline Rd SE
Ste 400
Decatur, AL 35601
Phone (256) 898-3004

1539 Montgomery Hwy
Ste 101
Hoover, AL 35216
Phone (659) 599-9513

1989 Montgomery Hwy
Hoover, AL 35244
Phone (659) 599-9512

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

1800 Birmingham Ave
Jasper, AL 35501
Phone (205) 384-4585

385 Bryan Rd
Ste 140
Sumiton, AL 35148
Phone (205) 648-0240

30 Burton Hills Blvd
Ste 175
Nashville, TN 37215
Phone (615) 988-2014

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1104362987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 LAY DAM RD",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350458344",
            "telephone_number": "205-258-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 LAY DAM RD",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350458344",
            "telephone_number": "205-258-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "MICHELLE",
        "middle_name": "LEE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-110692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clanton, AL

Sources for this page

Verify at the official NPI Registry.