Active NPI
Summer Hudson
- Registered Dietitian
- Mount Pleasant, SC
National Provider Identifier
1124905757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86172473
- Practice address
- 1280 Hospital Dr Unit 302
Mount Pleasant, SC 29464-1901 - Phone
- (843) 352-4154
- NPI assigned
- Aug 18, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86172473 | VA | Primary |
Addresses
Primary practice location
1280 Hospital Dr Unit 302
Mount Pleasant, SC 29464-1901
Mailing address
5118 Zephyr Rd
Summerville, SC 29486-8486
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Belfast, ME 04915
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86172473 | VA | MD | Registered Dietitian |
| 3129 | SC | MD | Adult Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Cooper Physician Group LLC | Current | Accepting new patients | |
| East Cooper Physician Group LLC | Current | Accepting new patients |
Locations
880 Island Park Dr
Unit 230
Daniel Island, SC 29492
Phone (843) 380-9330
1280 Hospital Dr
Unit 302
Mt Pleasant, SC 29464
Phone (843) 352-4154
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.
-
- Internal Medicine Physician
- Daniel Island, SC
- NPI 1861253981
-
- Body Imaging Physician
- Mt Pleasant, SC
- NPI 1699641571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755475200000",
"number": "1124905757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5118 ZEPHYR RD",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294868486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1280 HOSPITAL DR UNIT 302",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294641901",
"telephone_number": "843-352-4154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "SUMMER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-18",
"last_updated": "2025-08-18",
"certification_date": "2025-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "VA",
"license": "86172473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.