Individual provider Active NPI

Joy Dina Hudson, MD

  • Family Medicine Physician
  • Spartanburg, SC
National Provider Identifier
1184694069
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19782 Issued in SC
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 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 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

IdentifierTypeStateIssuer
197824MedicaidSC
88022OtherSCMEDCOST
5005636OtherSCAETNA
89063MXMedicaidNC

Other names 1

  • Dr. Joy Ellen Dina Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070329000158 SC Practitioner - Family Practice 3274637343 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oakview Medical Associates LLC CurrentSince Jul 1, 2017 Accepting new patients

Locations

11 Five Fork Plaza Ct
#A
Simpsonville, SC 29681
Phone (864) 627-0444

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AHFHAD
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.