Individual provider Active NPI

Lori A Hudson, RN-FNPC

  • Family Nurse Practitioner
  • Woodstock, GA
National Provider Identifier
1245319441
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN101917-NP Issued in GA
Practice address
510 E Cherokee CT
Woodstock, GA 30188-1964
Phone
(678) 761-9479
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN101917 GA
Family Medicine Physician 207Q00000X 28818 GA
Family Nurse Practitioner 363LF0000X RN101917-NP GA Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X RN101917 GA

Addresses

Primary practice location

510 E Cherokee CT
Woodstock, GA 30188-1964

Mailing address

510 E Cherokee CT
Woodstock, GA 30188-1964
Phone (678) 761-9479

Other identifiers 7

IdentifierTypeStateIssuer
000805153CMedicaidGA
1346893799OtherGAGROUP NPI
003224897AMedicaidGA
2379OtherGAGROUP MEDICARE
000805153DMedicaidGA
08337445OtherGAAMERIGROUP
G18382279OtherGAMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050719000650 GA Practitioner - Nurse Practitioner 1254368582
I20260319001890 FL Practitioner - Nurse Practitioner 1254368582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swallowing Diagnostics IncGroup PAC ID 0244261683, 10 clinicians

Practice addresses (Care Compare)

6093 NW 62ND Ter
Parkland, FL 33067-1538
Phone (954) 578-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28818GAMDFamily Medicine Physician
RN101917-NPGAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lori a Hudson Hill Multi-Specialty Current Accepting new patients
Heritage Medical Management Group LLC Multi-Specialty CurrentSince Sep 21, 2025 Accepting new patients
Swallowing Diagnostics Inc Multi-Specialty CurrentSince Mar 9, 2026 Accepting new patients
Lifetime Family Medicine,LLC Multi-Specialty PastSince Aug 5, 2019 Accepting new patients

Locations

509 Alabama Ave S
Bremen, GA 30110
Phone (770) 537-5555

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1369/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1245319441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E CHEROKEE CT",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301881964",
            "telephone_number": "678-761-9479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E CHEROKEE CT",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301881964",
            "telephone_number": "678-761-9479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "LORI",
        "middle_name": "A",
        "credential": "RN-FNPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN101917",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "28818",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN101917-NP",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN101917",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000805153C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1346893799",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003224897A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP  MEDICARE",
            "identifier": "2379",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000805153D",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "08337445",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "G18382279",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

Verify at the official NPI Registry.