NPIMap

Individual provider Active NPI

Maria Gracia Tolentino Hudson, PA-C

  • Physician Assistant
  • Gulf Breeze, FL
National Provider Identifier
1568404002
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9120572 Issued in FL
Practice address
204 Center St
Gulf Breeze, FL 32561-4392
Phone
(850) 477-2597
Fax
(866) 939-1533
NPI assigned
Jun 11, 2006
Last updated
Jul 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA00029 MS
Physician Assistant 363A00000X PA18149 TX
Physician Assistant 363A00000X PA9120572 FL Primary

Addresses

Primary practice location

204 Center St
Gulf Breeze, FL 32561-4392

Mailing address

204 Center St
Gulf Breeze, FL 32561-4392
Phone (850) 477-2597

Other practice location 1

903 W Martin St # MS 49-2
San Antonio, TX 78207-0903
Phone (210) 358-5437

Other names 1

  • Gracia Tolentino Hudson Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120416000586 MS Practitioner - Physician Assistant 4486667631 Reassigns benefits to 2 organizations
I20240828002551 TX Practitioner - Physician Assistant 4486667631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hospital at GulfportGroup PAC ID 2466524012, 473 clinicians
Community Medicine AssociatesGroup PAC ID 7719979509, 590 clinicians

Practice addresses (Care Compare)

1340 Broad Ave
Gulfport, MS 39501-2460

1720 A Medical Park Dr
Suite 300
Biloxi, MS 39532-2127
Phone (228) 872-6291

903 W Est
2 Robert B Green Facts Clin
San Antonio, TX 78207-0903
Phone (210) 358-3710

903 W Martin
San Antonio, TX 78207-0903

903 W Martin St
San Antonio, TX 78207-0903
Phone (210) 358-5437

903 W Martin St
Ms 49 2
San Antonio, TX 78207-3110
Phone (210) 358-3441

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital at Gulfport CurrentSince Sep 28, 2017 Accepting new patients
Memorial Hospital at Gulfport CurrentSince Sep 28, 2017 Accepting new patients
St. Luke's Hospital of Duluth Past Accepting new patients

Locations

1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856

4500 13th St
Gulfport, MS 39501
Phone (228) 236-3872

4500 13th St
#P
Gulfport, MS 39501
Phone (228) 865-3451

3890 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 872-6291

3616 Hospital St
Pascagoula, MS 39581
Phone (228) 762-1002

Interoperability endpoints

  • Direct secure messaging: ghudson683331@uhssa.direct-ci.com
  • Direct secure messaging: graciahudson@dhc.allscriptsdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 63

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 63

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1568404002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 CENTER ST",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614392",
            "telephone_number": "850-477-2597",
            "fax_number": "866-939-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 CENTER ST",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614392",
            "telephone_number": "850-477-2597",
            "fax_number": "866-939-1533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "903 W Martin St # MS 49-2",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782070903",
            "country_code": "US",
            "telephone_number": "210-358-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "MARIA GRACIA",
        "middle_name": "TOLENTINO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MS",
            "license": "PA00029",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA18149",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9120572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACIA",
            "last_name": "HUDSON",
            "middle_name": "TOLENTINO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gulf Breeze, FL

Sources for this page

Verify at the official NPI Registry.