Active NPI
John R Hudgins, M.D.
- Internal Medicine Physician
- Georgetown, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G8186
- 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, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4820779-1205 | UT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord Medical Group PLLC | Current | Accepting new patients | |
| Century Integrated Partners, Inc | Current | Accepting new patients | |
| Concord Medical Group of Texas PLLC | Current | Accepting new patients | |
| Professional Imaging, PLLC | Current | 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 | Past | 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.
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- Emergency Medicine Physician
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- NPI 1750790762
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- Emergency Medicine Physician
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- NPI 1083630610
-
- Emergency Medicine Physician
- Austin, TX
- NPI 1356512321
-
- Emergency Medicine Physician
- Bryan, TX
- NPI 1447447230
-
- Emergency Medicine Physician
- Mineral Wells, TX
- NPI 1932149804
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.