Individual provider Active NPI

Jalila Hudson, MD

  • Hospitalist Physician
  • Franklin, TN
National Provider Identifier
1598773889
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
30327 Issued in NE
Practice address
610 Patriot LN
Franklin, TN 37067-5772
Phone
(423) 595-3724
NPI assigned
Aug 3, 2006
Last updated
Sep 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 37272 TN
Hospitalist Physician 208M00000X 37272 TN
Hospitalist Physician 208M00000X MD44712 IA
Hospitalist Physician 208M00000X 30327 NE Primary

Addresses

Primary practice location

610 Patriot LN
Franklin, TN 37067-5772

Mailing address

610 Patriot LN
Franklin, TN 37067-5772
Phone (423) 595-3724

Other practice location 1

7500 Mercy Rd
Omaha, NE 68124-2319
Phone (855) 524-4001

Other identifiers 1

IdentifierTypeStateIssuer
3891297MedicaidTN

Other names 1

  • Jalila Cunningham Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, ND2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040526000139 TN Practitioner - Internal Medicine 4284615337 Reassigns benefits to 3 organizations
I20230809002278 ND Practitioner - Hospitalist 4284615337 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Meharry Medical College School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maury Regional Medical Group, IncGroup PAC ID 7911810742, 119 clinicians

Practice addresses (Care Compare)

1224 N Trotwood Ave
Columbia, TN 38401-4802

1224 Trotwood Ave
Columbia, TN 38401-4802
Phone (931) 381-1111

854 W James Campbell
Suite 303
Columbia, TN 38401-4672

854 W James Campbell Blvd
Columbia, TN 38401-4672
Phone (931) 388-8779

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD44712IAMDHospitalist Physician
30327NEMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Physician Services PC Internal Medicine CurrentSince Jan 26, 2010 Accepting new patients
Maury Regional Medical Group, Inc Internal Medicine CurrentSince Sep 29, 2014 Accepting new patients
Mercy Hospital CurrentSince Jul 1, 2024 Accepting new patients
Mercy Hospital of Valley City Current Accepting new patients
Oakes Community Hospital CurrentSince Aug 1, 2023 Accepting new patients
Maury Regional Hospital Marshall Medical Center CurrentSince Sep 29, 2014 Accepting new patients
Apogee Medical Group Tennessee PC Internal Medicine CurrentSince Oct 22, 2016 Accepting new patients
Oakes Community Hospital CurrentSince Aug 1, 2023 Accepting new patients
Mercy Hospital of Valley City CurrentSince Jul 1, 2024 Accepting new patients
Chattanooga Hamilton County Hospital Authority Internal Medicine Past Accepting new patients
Jemison O. Bowers, MD PastSince Jan 20, 1997 Accepting new patients
Ecc Hospitalist Services PC Internal Medicine Past Accepting new patients
Ut Physicians Inc Internal Medicine Past Accepting new patients
Oakes Community Hospital Past Accepting new patients
Peter Roger Deversa MD PLLC Hospitalist Past Accepting new patients
University Hospitalists of Chattanooga PLLC Internal Medicine Past Accepting new patients

Locations

3265 Solutions Ctr
Chicago, IL 60677

1200 N 7th St
Oakes, ND 58474
Phone (701) 742-3291

570 Chautauqua Blvd
Valley City, ND 58072
Phone (701) 845-0440

2333 McCallie Ave
Chattanooga, TN 37404
Phone (423) 493-1387

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

1224 Trotwood Ave
Columbia, TN 38401
Phone (931) 380-4072

854 W James M Campbell Blvd
Ste 303
Columbia, TN 38401
Phone (931) 388-8779

941 Spring Creek Rd
East Ridge, TN 37412
Phone (423) 855-3255

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

908 W 4th North St
Morristown, TN 37814
Phone (423) 492-9000

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

103 Jv Mangubat Dr
Waynesboro, TN 38485
Phone (931) 722-3404

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1598773889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 PATRIOT LN",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370675772",
            "telephone_number": "423-595-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 PATRIOT LN",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370675772",
            "telephone_number": "423-595-3724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7500 Mercy Rd",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681242319",
            "country_code": "US",
            "telephone_number": "855-524-4001",
            "fax_number": "402-398-5589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "JALILA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "37272",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "37272",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IA",
            "license": "MD44712",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NE",
            "license": "30327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3891297",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JALILA",
            "last_name": "CUNNINGHAM",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Franklin, TN

Sources for this page

Verify at the official NPI Registry.