Active NPI
Hudson Medical Group Inc
- Specialist
- Atlanta, GA
National Provider Identifier
1457541963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 030102
- Legal business name
- HUDSON MEDICAL GROUP INC
- Practice address
- 735 Piedmont Ave NE
Atlanta, GA 30308-1416 - Phone
- (404) 881-6910
- Fax
- (404) 873-2347
- NPI assigned
- Jul 31, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard Hudson
- Title
- Owner
- Phone
- (404) 881-6910
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 030102 | GA | Primary |
Addresses
Primary practice location
735 Piedmont Ave NE
Atlanta, GA 30308-1416
Mailing address
735 Piedmont Ave NE
Atlanta, GA 30308-1416
Phone (404) 881-6910
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4391200 | Other | GA | AETNA |
| 000352778B | Medicaid | GA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212019200000",
"number": "1457541963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "735 PIEDMONT AVE NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303081416",
"telephone_number": "404-881-6910",
"fax_number": "404-873-2347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "735 PIEDMONT AVE NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303081416",
"telephone_number": "404-881-6910",
"fax_number": "404-873-2347"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUDSON MEDICAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-31",
"last_updated": "2008-05-29",
"status": "A",
"authorized_official_last_name": "HUDSON",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "404-881-6910"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "GA",
"license": "030102",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4391200",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000352778B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.