Individual provider Active NPI

Kathryn Lee Hudgins, PA-C

  • Physician Assistant
  • Palmetto, FL
National Provider Identifier
1265230973
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9119967 Issued in FL
Practice address
2219 28TH Ave E
Palmetto, FL 34221-1245
Phone
(949) 742-0737
NPI assigned
Mar 6, 2025
Last updated
Mar 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9119967 FL Primary

Addresses

Primary practice location

2219 28TH Ave E
Palmetto, FL 34221-1245

Mailing address

2219 28TH Ave E
Palmetto, FL 34221-1245

Other names 1

  • Kathryn Lee Gramley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250926002604 FL Practitioner - Physician Assistant 4486159639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excel Pain and Spine LLCGroup PAC ID 8123447869, 15 clinicians

Practice addresses (Care Compare)

771 Cypress Village Blvd
Sun City Center, FL 33573-6801
Phone (813) 701-5804

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9119967FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Pain and Spine LLC CurrentSince Aug 1, 2025 Accepting new patients
Excel Pain and Spine LLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

414 W Robertson St
Brandon, FL 33511
Phone (813) 657-6767

28050 US Highway 19 N
Ste 100
Clearwater, FL 33761
Phone (727) 210-2225

2310 North Blvd W
Ste A
Davenport, FL 33837
Phone (863) 732-7246

7032 US Highway 301 N
Ellenton, FL 34222
Phone (941) 723-2131

1417 Lakeland Hills Blvd
Ste 201
Lakeland, FL 33805
Phone (833) 513-7246

1611 Harden Blvd
Lakeland, FL 33803

3333 Clark Rd
Ste 190
Sarasota, FL 34231
Phone (941) 922-1400

2100 1st Ave S
Ste 100B
St Petersburg, FL 33712

3909 Galen Ct
Ste 104
Sun City Ctr, FL 33573
Phone (813) 400-3879

771 Cypress Village Blvd
Sun City Ctr, FL 33573
Phone (813) 333-5080

3218 W Azeele St
Tampa, FL 33609
Phone (813) 879-1188

326 S 6th Ave
Wauchula, FL 33873

26851 Tanic Dr
Ste 102
Wesley Chapel, FL 33544
Phone (727) 203-5073

1749 6th St NW
Winter Haven, FL 33881

400 Avenue K SE
Ste 9
Winter Haven, FL 33880
Phone (863) 291-6313

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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, 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": "1741219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1265230973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 28TH AVE E",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342211245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2219 28TH AVE E",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342211245",
            "telephone_number": "949-742-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDGINS",
        "first_name": "KATHRYN",
        "middle_name": "LEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-06",
        "last_updated": "2025-03-06",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9119967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "GRAMLEY",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palmetto, FL

Sources for this page

Verify at the official NPI Registry.