Active NPI
Vintonne Hudson
- Prosthetic/Orthotic Supplier
- Stockbridge, GA
National Provider Identifier
1114875291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Practice address
- 6047 N Henry Blvd
Stockbridge, GA 30281-3058 - Phone
- (404) 246-5829
- NPI assigned
- Mar 17, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
6047 N Henry Blvd
Stockbridge, GA 30281-3058
Mailing address
3940 Compton Pointe
Ellenwood, GA 30294-1479
Phone (404) 246-5829
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1114875291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3940 COMPTON POINTE",
"city": "ELLENWOOD",
"state": "GA",
"postal_code": "302941479",
"telephone_number": "404-246-5829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6047 N HENRY BLVD",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302813058",
"telephone_number": "404-246-5829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "VINTONNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-03-17",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockbridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.