Individual provider Active NPI

John R Hudgins, M.D.

  • Internal Medicine Physician
  • Georgetown, TX
National Provider Identifier
1679560551
Registry record updated Feb 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G8186 Issued in TX
Practice address
205 E University Ave Ste 200
Georgetown, TX 78626-6821
Phone
(512) 868-1124
Fax
(512) 868-9894
NPI assigned
Oct 5, 2005
Last updated
Feb 17, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4820779-1205 UT
Internal Medicine Physician 207R00000X G8186 TX Primary

Addresses

Primary practice location

205 E University Ave Ste 200
Georgetown, TX 78626-6821

Mailing address

205 E University Ave Ste 200
Georgetown, TX 78626-6821
Phone (512) 868-1124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20080403000268 TX Practitioner - Emergency MedicinePractitioner - Internal Medicine 8325933310 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Texas Medical Branch at Galveston, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Imaging PLLCGroup PAC ID 7012975527, 25 clinicians

Practice addresses (Care Compare)

1717 Rotary Dr
Humble, TX 77338-5235
Phone (281) 272-6277

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4820779-1205UTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC CurrentSince Dec 1, 2020 Accepting new patients
Century Integrated Partners, Inc CurrentSince Sep 17, 2016 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Dec 1, 2020 Accepting new patients
Professional Imaging, PLLC CurrentSince Oct 22, 2025 Accepting new patients
Austin Premier Emergency Physicians Past Accepting new patients
Emergency Physicians of Park Hudson PLLC Past Accepting new patients
Palo Pinto Emergency Physicians PastSince Mar 17, 2008 Accepting new patients

Locations

1112 Smith Dr
Alvin, TX 77511
Phone (281) 331-3001

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

3131 University Dr E
Bryan, TX 77802
Phone (979) 680-1888

2019 N Frazier St
Conroe, TX 77301
Phone (936) 441-2120

3500 Gaston Ave
Dallas, TX 75246

4835 Lyndon B Johnson Fwy
Ste 900
Dallas, TX 75244
Phone (469) 340-1366

419 S Cockrell Hill Rd
Duncanville, TX 75116
Phone (410) 552-4800

1500 Sunset Dr
Friendswood, TX 77546
Phone (281) 922-4300

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

3301 View St
Ft Worth, TX 76103
Phone (817) 531-3616

4400 Gulf Ave
Groves, TX 77619
Phone (409) 962-5785

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

507 N Sam Houston Pkwy E
Ste 245
Houston, TX 77060
Phone (817) 296-7282

1717 Rotary Dr
Humble, TX 77338
Phone (817) 296-7282

200 W Ollie St
Llano, TX 78643
Phone (325) 216-9199

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329436800000",
    "number": "1679560551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E UNIVERSITY AVE STE 200",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786266821",
            "telephone_number": "512-868-1124",
            "fax_number": "512-868-9894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E UNIVERSITY AVE STE 200",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786266821",
            "telephone_number": "512-868-1124",
            "fax_number": "512-868-9894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDGINS",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2012-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "4820779-1205",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G8186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.