Individual provider Active NPI

Thomas Neil Hudson, FNP

  • Family Nurse Practitioner
  • Hattiesburg, MS
National Provider Identifier
1679050223
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
902790 Issued in MS
Practice address
5003 Hardy St Ste 100
Hattiesburg, MS 39402-1331
Phone
(601) 296-3874
Fax
(601) 261-9847
NPI assigned
Jul 26, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 902790 MS
Family Nurse Practitioner 363LF0000X 902790 MS Primary

Addresses

Primary practice location

5003 Hardy St Ste 100
Hattiesburg, MS 39402-1331

Mailing address

5003 Hardy St Ste 100
Hattiesburg, MS 39402-1331
Phone (601) 296-3892

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180831001223 MS Practitioner - Nurse Practitioner 0547510158 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wesley Physician Services LLCGroup PAC ID 2466559851, 42 clinicians

Practice addresses (Care Compare)

5001 Hardy St
Hattiesburg, MS 39402-1308
Phone (601) 268-8155

5003 Hardy St
Hattiesburg, MS 39402-1331

Hospital & facility affiliations

  • Mississippi Homecare of Richton Home health agency, Richton, MS, CCN 257120
  • Merit Health Wesley Hospital, Hattiesburg, MS, CCN 250094

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as apm
Quality
73.89
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.76 of 100Reported as group
Quality
87.92
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wesley Physician Services LLC Family Medicine CurrentSince Sep 24, 2024 Accepting new patients
JFMC Heidelberg, LLC CurrentSince Aug 13, 2018 Accepting new patients
Jones Family Medicine Clinic PLLC Current Accepting new patients
JFMC Ellisville, LLC CurrentSince Aug 13, 2018 Accepting new patients

Locations

2680 Highway 15
Bay Springs, MS 39422
Phone (601) 764-6972

5001 Hardy St
Hattiesburg, MS 39402
Phone (601) 268-8000

5003 Hardy St
Ste 100
Hattiesburg, MS 39402
Phone (601) 296-3050

5001 Hardy St
Ste 100
Hattiesburg, MS 39402

30 Circle J Dr
Ste 1
Laurel, MS 39440
Phone (601) 425-0092

235 S 14th Ave
#Q
Laurel, MS 39440
Phone (601) 651-2830

Interoperability endpoints

  • Direct secure messaging: thomas.hudson@jfmc.ssdirect.aprima.com
  • Direct secure messaging: thomas.hudson.1@1930.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/1930/brand/2/csg/102/fhir/r4

Organizations & group practices 4

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.

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": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1679050223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5003 HARDY ST STE 100",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021331",
            "telephone_number": "601-296-3892",
            "fax_number": "601-261-9847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5003 HARDY ST STE 100",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021331",
            "telephone_number": "601-296-3874",
            "fax_number": "601-261-9847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "THOMAS",
        "middle_name": "NEIL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-26",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "902790",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.