Active NPI
Joy Dina Hudson, MD
- Family Medicine Physician
- Spartanburg, SC
National Provider Identifier
1184694069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 19782
- Practice address
- 9098 Fairforest Rd
Spartanburg, SC 29301-1134 - Phone
- (864) 342-7070
- Fax
- (864) 586-4327
- NPI assigned
- Jan 24, 2006
- Last updated
- Jan 22, 2020
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 19782 | SC | Primary |
Addresses
Primary practice location
9098 Fairforest Rd
Spartanburg, SC 29301-1134
Mailing address
410 Lakecrest Dr
Spartanburg, SC 29301-5238
Phone (864) 908-7406
Other practice location 1
101 W Saint John St
Spartanburg, SC 29306-5179
Phone (864) 342-7070
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 197824 | Medicaid | SC | |
| 88022 | Other | SC | MEDCOST |
| 5005636 | Other | SC | AETNA |
| 89063MX | Medicaid | NC |
Other names 1
- Dr. Joy Ellen Dina
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oakview Medical Associates LLC | Current | Accepting new patients |
Locations
11 Five Fork Plaza Ct
#A
Simpsonville, SC 29681
Phone (864) 627-0444
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AHFHAD
- joy.hudson.1@23284.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Adult Medicine Physician
- Simpsonville, SC
- NPI 1104086818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579651200000",
"number": "1184694069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 LAKECREST DR",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293015238",
"telephone_number": "864-908-7406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9098 FAIRFOREST RD",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293011134",
"telephone_number": "864-342-7070",
"fax_number": "864-586-4327"
}
],
"practiceLocations": [
{
"address_1": "101 W Saint John St",
"address_purpose": "LOCATION",
"city": "Spartanburg",
"state": "SC",
"postal_code": "293065179",
"country_code": "US",
"telephone_number": "864-342-7070",
"fax_number": "864-586-4327",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUDSON",
"first_name": "JOY",
"middle_name": "DINA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-24",
"last_updated": "2020-01-22",
"certification_date": "2020-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "19782",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "197824",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "88022",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5005636",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89063MX",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JOY",
"last_name": "DINA",
"middle_name": "ELLEN",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.