Individual provider Active NPI

Virginia Hudson, FNP

  • Family Nurse Practitioner
  • Warm Springs, GA
National Provider Identifier
1689622946
Registry record updated Sep 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN064157 Issued in GA
Practice address
3939 White House Pkwy
Warm Springs, GA 31830-2455
Phone
(706) 655-4088
Fax
(706) 655-4091
NPI assigned
May 5, 2006
Last updated
Sep 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN064157 GA Primary

Addresses

Primary practice location

3939 White House Pkwy
Warm Springs, GA 31830-2455

Mailing address

3939 White House Pkwy
Warm Springs, GA 31830-2455
Phone (706) 655-4088

Other identifiers 3

IdentifierTypeStateIssuer
000696143CMedicaidGA
000696143BMedicaidGA
000696143EMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20050316000038 GA Practitioner - Nurse Practitioner 1658326376 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN064157GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Health Council Inc CurrentSince Feb 8, 2025 Accepting new patients
Palmetto Health Council, Inc. Past Accepting new patients

Locations

101 Commerce Pl
Ste 1
Barnesville, GA 30204
Phone (770) 358-4408

643 Main St
Palmetto, GA 30268
Phone (404) 929-8824

3939 White House Pkwy
Warm Springs, GA 31830
Phone (706) 655-2267

16201 Barnesville St
Zebulon, GA 30295
Phone (770) 567-0334

Interoperability endpoints

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

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, 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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474502400000",
    "number": "1689622946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 WHITE HOUSE PKWY",
            "city": "WARM SPRINGS",
            "state": "GA",
            "postal_code": "318302455",
            "telephone_number": "706-655-4088",
            "fax_number": "706-655-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 WHITE HOUSE PKWY",
            "city": "WARM SPRINGS",
            "state": "GA",
            "postal_code": "318302455",
            "telephone_number": "706-655-4088",
            "fax_number": "706-655-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "VIRGINIA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2016-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN064157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000696143C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000696143B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000696143E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warm Springs, GA

Sources for this page

Verify at the official NPI Registry.