Individual provider Active NPI

Kyle R Hudgens, MD

  • Neurology Physician
  • Birmingham, AL
National Provider Identifier
1669475240
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
11505 Issued in AL
Practice address
3686 Grandview Pkwy Ste 600
Birmingham, AL 35243-3406
Phone
(205) 971-3600
Fax
(844) 772-0468
NPI assigned
May 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 11505 AL Primary

Addresses

Primary practice location

3686 Grandview Pkwy Ste 600
Birmingham, AL 35243-3406

Mailing address

3686 Grandview Pkwy Ste 600
Birmingham, AL 35243-3406
Phone (205) 971-3600

Other practice location 1

790 Montclair Rd
Ste 210
Birmingham, AL 35213-1966
Phone (205) 595-3600

Other practice location 2

3686 Grandview Pkwy Ste 720
Birmingham, AL 35243-3408
Phone (205) 971-3600

Other identifiers 2

IdentifierTypeStateIssuer
000018424MedicaidAL
529002380MedicaidAL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kyle.hudgens.1@9954.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20050221000647 AL Practitioner - Neurology 2264485069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.97 of 100Reported as apm
Quality
75.95
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11505ALMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Physician Services LLC CurrentSince Jun 1, 2015 Accepting new patients
Affinity Cardiovascular Specialists LLC PastSince Oct 19, 2015 Accepting new patients

Locations

790 Montclair Rd
Ste 210
Birmingham, AL 35213
Phone (205) 595-3600

3686 Grandview Pkwy
Ste 600
Birmingham, AL 35243
Phone (205) 971-3600

3686 Grandview Pkwy
Ste 720
Birmingham, AL 35243
Phone (205) 971-3600

5890 Valley Rd
Ste 200
Birmingham, AL 35235
Phone (205) 655-7600

3690 Grandview Pkwy
Vestavia, AL 35243
Phone (205) 592-1000

Networks

  • bcbs alabama network 01A0
  • bcbs alabama network 01E0
  • bcbs alabama network 01H0
  • bcbs alabama network 01G0
  • bcbs alabama network 01B0
  • bcbs alabama network 01I0

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1669475240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3686 GRANDVIEW PKWY STE 600",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352433406",
            "telephone_number": "205-971-3600",
            "fax_number": "844-772-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3686 GRANDVIEW PKWY STE 600",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352433406",
            "telephone_number": "205-971-3600",
            "fax_number": "844-772-0468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "790 Montclair Rd",
            "address_2": "Ste 210",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352131966",
            "country_code": "US",
            "telephone_number": "205-595-3600",
            "fax_number": "205-595-3663",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3686 Grandview Pkwy Ste 720",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352433408",
            "country_code": "US",
            "telephone_number": "205-971-3600",
            "fax_number": "844-772-0468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDGENS",
        "first_name": "KYLE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AL",
            "license": "11505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000018424",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529002380",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kyle.hudgens.1@9954.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "3686 Grandview Pkwy Ste 600",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352433406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.