NPIMap

Individual provider Active NPI

James Wallace Hudson, MD

  • Family Medicine Physician
  • Greenville, SC
National Provider Identifier
1104852029
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20424 Issued in SC
Practice address
429 Roper Mountain Rd Ste 700
Greenville, SC 29615-4261
Phone
(864) 412-2777
Fax
(855) 877-7043
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20424 SC Primary

Addresses

Primary practice location

429 Roper Mountain Rd Ste 700
Greenville, SC 29615-4261

Mailing address

429 Roper Mountain Rd Ste 700
Greenville, SC 29615-4261
Phone (864) 412-2777

Other identifiers 1

IdentifierTypeStateIssuer
204246MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address james.hudson.1@18194.direct.athenahealth.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031205000425 SC Practitioner - Family Practice 2769387331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical University of South Carolina College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Family MedicineGroup PAC ID 1052656071, 2 clinicians

Practice addresses (Care Compare)

429 Roper Mountain Rd
Suite 700
Greenville, SC 29615-4261
Phone (864) 412-2777

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Greenville, SC, CCN 427017
  • Interim Healthcare of the Upstate Home health agency, Greenville, SC, CCN 427015
  • St Francis-Downtown Hospital, Greenville, SC, CCN 420023
  • Prisma Health Patewood Hospital Hospital, Greenville, SC, CCN 420102
  • Prisma Health Hillcrest Hospital Hospital, Simpsonville, SC, CCN 420037
  • Prisma Health Greenville Memorial Hospital Hospital, Greenville, SC, CCN 420078
  • Prisma Health Greer Memorial Hospital Hospital, Spartanburg, SC, CCN 420033
  • Prisma Health North Greenville Ltach Long-term care hospital, Travelers Rest, SC, CCN 422008

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions18
Removal of nail tissue1-10
Skin biopsy12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20424SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Family Medicine Family Medicine CurrentSince Nov 1, 2018 Accepting new patients
St Francis Physician Services Inc Family Medicine Past Accepting new patients

Locations

429 Roper Mountain Rd
Ste 700
Greenville, SC 29615
Phone (864) 412-2777

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18194/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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 61

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 61

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1104852029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 ROPER MOUNTAIN RD STE 700",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154261",
            "telephone_number": "864-412-2777",
            "fax_number": "855-877-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 ROPER MOUNTAIN RD STE 700",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154261",
            "telephone_number": "864-412-2777",
            "fax_number": "855-877-7043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "JAMES",
        "middle_name": "WALLACE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "20424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204246",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "james.hudson.1@18194.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "EHR Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "429 Roper Mountain Rd Ste 700",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296154261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.