Active NPI
Hunter Judkins, M.D.
- Family Medicine Physician
- Fayetteville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C-6184
- Practice address
- 1125 N College Ave
Fayetteville, AR 72703-1908 - Phone
- (479) 521-8260
- NPI assigned
- Feb 21, 2006
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 3090 | AK | |
| Family Medicine Physician | 207Q00000X | C-6184 | AR | Primary |
Addresses
Primary practice location
1125 N College Ave
Fayetteville, AR 72703-1908
Mailing address
1125 N College Ave
Fayetteville, AR 72703-1908
Phone (479) 521-8260
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD9913 | Medicaid | AK | |
| 1255306502 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- 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 |
|---|---|---|---|
| Tanana Valley Medical Surgical Group Inc | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Family Medicine | Current | Accepting new patients |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Family Medicine | Current | Accepting new patients |
Locations
1001 Noble St
Fairbanks, AK 99701
Phone (907) 276-2806
3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100
207 Carter St
Berryville, AR 72616
Phone (870) 423-6661
211 Carter St
Berryville, AR 72616
Phone (417) 869-3200
214 Carter St
Berryville, AR 72616
Phone (870) 423-3355
Interoperability endpoints
- hjudkins46795@washingtonregional.direct-ci.com
Organizations & group practices 7
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.
-
dba Mercy Radiology Berryville
- Diagnostic Radiology Physician
- Berryville, AR
- NPI 1720022510
-
- Multi-Specialty Clinic/Center
- Rogers, AR
- NPI 1265490916
-
dba Mercy Clinic Convenient Care Eureka Springs
- Family Medicine Physician
- Eureka Springs, AR
- NPI 1679994883
-
- Endocrinology, Diabetes & Metabolism Physician
- Rogers, AR
- NPI 1699016774
-
- Endocrinology, Diabetes & Metabolism Physician
- Rogers, AR
- NPI 1770087371
-
dba Mercy Clinic Family Medicine-Willow Springs
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
Family Medicine
-
dba Tanana Valley Clinic
- Clinic/Center
- Fairbanks, AK
- NPI 1184691743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1255306502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 N COLLEGE AVE",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727031908",
"telephone_number": "479-521-8260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 N COLLEGE AVE",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727031908",
"telephone_number": "479-521-8260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUDKINS",
"first_name": "HUNTER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AK",
"license": "3090",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "C-6184",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD9913",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1255306502",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.