Active NPI
Mark S. Hudson, DC
- Chiropractor
- Blue Ridge, GA
National Provider Identifier
1568434074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH4153
- Practice address
- 460 W Main St Ste 103
Blue Ridge, GA 30513-7127 - Phone
- (941) 773-5076
- NPI assigned
- Feb 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH4153 | FL | Primary |
Addresses
Primary practice location
460 W Main St Ste 103
Blue Ridge, GA 30513-7127
Mailing address
460 West Main Street
Suite 103
Blue Ridge, GA 30513
Phone (941) 773-5076
Other practice location 1
6220 Manatee Ave W
Suite 204
Bradenton, FL 34209-2376
Phone (941) 761-1100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45708 | Other | FL | BCBS |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RHC Health Services, LLC | Chiropractor | Past | Accepting new patients |
| Charles F. Hudson | 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 and National Provider Directory roles.
-
- Independent Medical Examiner Chiropractor
- Bradenton, FL
- NPI 1982874442
-
- Chiropractor
- Bradenton, FL
- NPI 1497201966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1568434074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 WEST MAIN STREET",
"address_2": "SUITE 103",
"city": "BLUE RIDGE",
"state": "GA",
"postal_code": "30513",
"telephone_number": "941-773-5076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 W MAIN ST STE 103",
"city": "BLUE RIDGE",
"state": "GA",
"postal_code": "305137127",
"telephone_number": "941-773-5076"
}
],
"practiceLocations": [
{
"address_1": "6220 Manatee Ave W",
"address_2": "Suite 204",
"address_purpose": "LOCATION",
"city": "Bradenton",
"state": "FL",
"postal_code": "342092376",
"country_code": "US",
"telephone_number": "941-761-1100",
"fax_number": "941-761-1103",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUDSON",
"first_name": "MARK",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH4153",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "45708",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Blue Ridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.