Rickey Hugh Hudson Sr., M.D.

Primary specialty

Adolescent Medicine (Family Medicine) PhysicianTaxonomy code 207QA0000X

License

MD016565 Issued in TN

Practice address

4299 Elvis Presley Blvd.
Memphis, TN 38116-6084

Phone

(901) 332-5873

Fax

(901) 332-6084

NPI assigned

Aug 20, 2006

Last updated

Sep 10, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TN

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HDEADD

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.

• Honeycomb Medical Group PLC

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1548971450
  Medicare reassignment NPD
• Total Heatlh Care

  • Family Medicine Physician
  • Memphis, TN
  • NPI 1861719445
  NPD (past) Authorized official

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284076800000",
    "number": "1609981752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 30384",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381300384",
            "telephone_number": "901-332-5873",
            "fax_number": "901-332-6084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4299 ELVIS PRESLEY BLVD.",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381166084",
            "telephone_number": "901-332-5873",
            "fax_number": "901-332-6084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "RICKEY",
        "middle_name": "HUGH",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2010-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "018656",
            "primary": false
        },
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "TN",
            "license": "MD016565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116899",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0165491",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3032169",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "0165491",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Shontae Hudson
• Marketa Hudson
• Melissa Maria Hudson, MD
• Moniqua Toquana Hudson, LPN
• Nikia Shauntreese Hudson, BS
• Roy Adrain Hudson III, D.D.S.
• Shannon Hudson
• Veronica Hudson, SLP
• Emma J Huey
• Rebakah Lynnlee Huey, CPNP - PC/AC

• Adolescent Medicine (Family Medicine) Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Adolescent Medicine (Family Medicine) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.