Individual provider Active NPI

Kimberly Ann Garren-Hudson, D.O.

  • Family Medicine Physician
  • South Russell, OH
National Provider Identifier
1689661027
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3400-7493G Issued in OH
Practice address
5192 Chillicothe Rd
South Russell, OH 44022-4196
Phone
(440) 338-3366
Fax
(440) 338-3332
NPI assigned
Sep 30, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3400-7493G OH Primary

Addresses

Primary practice location

5192 Chillicothe Rd
South Russell, OH 44022-4196

Mailing address

5192 Chillicothe Rd
South Russell, OH 44022-4196
Phone (440) 338-3366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20100812000222 OH Practitioner - Family Practice 9436283405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

7511 Fredle Dr
Concord Township, OH 44077-9406
Phone (216) 249-7226

7519 Fredle Dr
Concord Township, OH 44077-9406
Phone (216) 444-5806

7530 Fredle Dr
Concord Township, OH 44077-9406
Phone (440) 386-2250

8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950

9500 Euclid Ave
Cleveland, OH 44195-0001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3400-7493GOHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
The Cleveland Clinic Foundation CurrentSince Jan 7, 2014 Accepting new patients
The Cleveland Clinic Foundation Past Accepting new patients

Locations

36901 American Way
Avon, OH 44011
Phone (440) 930-6200

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

7519 Fredle Dr
Concord Township, OH 44077
Phone (216) 444-5806

5192 Chillicothe Rd
Moreland Hills, OH 44022
Phone (440) 338-3366

850 Columbia Rd
Ste 105
Westlake, OH 44145
Phone (440) 250-5737

Interoperability endpoints

  • Direct secure messaging: kgarrenhudson30486@direct.ccf.org

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1689661027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5192 CHILLICOTHE RD",
            "city": "SOUTH RUSSELL",
            "state": "OH",
            "postal_code": "440224196",
            "telephone_number": "440-338-3366",
            "fax_number": "440-338-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5192 CHILLICOTHE RD",
            "city": "SOUTH RUSSELL",
            "state": "OH",
            "postal_code": "440224196",
            "telephone_number": "440-338-3366",
            "fax_number": "440-338-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARREN-HUDSON",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "3400-7493G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Russell, OH

Sources for this page

Verify at the official NPI Registry.