Active NPI
Earnest Cole Hudson, DO
- Psychiatry Physician
- Fairhope, AL
National Provider Identifier
1508833351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- DO308
- Practice address
- 761B Middle St
Fairhope, AL 36532-1715 - Phone
- (251) 928-4750
- Fax
- (251) 829-4047
- NPI assigned
- Mar 1, 2006
- Last updated
- Nov 8, 2010
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 1415 | TN | |
| Psychiatry Physician | 2084P0800X | DO308 | AL | Primary |
Addresses
Primary practice location
761B Middle St
Fairhope, AL 36532-1715
Mailing address
761B Middle St
Fairhope, AL 36532-1715
Phone (251) 928-4750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSW782 | TN | MD | Clinical Social Worker |
| 1415 | TN | MD | Optometrist |
| DO308 | AL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkwest Medical Center | Past | Accepting new patients | |
| Parkwest Medical Center | Past | Accepting new patients |
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.
-
dba Peninsula Div Parkwest MC
- General Acute Care Hospital
- Knoxville, TN
- NPI 1396739165
-
dba Peninsula Hospital A Division of Parkwest Medical Center
- Psychiatric Hospital
- Louisville, TN
- NPI 1558343566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289174400000",
"number": "1508833351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "761B MIDDLE ST",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365321715",
"telephone_number": "251-928-4750",
"fax_number": "251-829-4047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "761B MIDDLE ST",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365321715",
"telephone_number": "251-928-4750",
"fax_number": "251-829-4047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "EARNEST",
"middle_name": "COLE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-01",
"last_updated": "2010-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TN",
"license": "1415",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AL",
"license": "DO308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairhope, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.