Individual provider Active NPI

Anita M Hudson-Fraley, MD

  • Obstetrics & Gynecology Physician
  • Goldsboro, NC
National Provider Identifier
1730124173
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
9600366 Issued in NC
Practice address
102 Handley Park CT
Goldsboro, NC 27534-1768
Phone
(919) 734-3344
Fax
(919) 736-1352
NPI assigned
Jun 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 96-00366 NC
Obstetrics & Gynecology Physician 207V00000X 9600366 NC Primary

Addresses

Primary practice location

102 Handley Park CT
Goldsboro, NC 27534-1768

Mailing address

102 Handley Park CT
Goldsboro, NC 27534-1768
Phone (919) 734-3344

Other practice location 1

700 Exposition Pl
Ste 111
Raleigh, NC 27615-1560
Phone (919) 844-2226

Other practice location 2

4420 Lake Boone Trl
Raleigh, NC 27607-7505
Phone (919) 567-6133

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ahudsonfraley225820@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20050124000632 NC Practitioner - Obstetrics/Gynecology 2466402946 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9600366NCMDObstetrics & Gynecology Physician
96-00366NCMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rex Hospital Inc Current Accepting new patients
University of North Carolina Hospitals at Chapel Hill CurrentSince Jun 1, 2024 Accepting new patients
University of North Carolina Hospitals at Chapel Hill Current Accepting new patients
North Carolina MG, LLC Obstetrics & Gynecology CurrentSince Jun 1, 2025 Accepting new patients
Unc Physicians Network LLC Current Accepting new patients
University of North Carolina Hospitals at Chapel Hill CurrentSince Jun 1, 2024 Accepting new patients
Raleigh Durham Medical Group PA Gynecology Past Accepting new patients

Locations

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

850 S Main St
Holly Springs, NC 27540
Phone (919) 784-7093

701 Doctors Dr
Ste E1
Kinston, NC 28501
Phone (252) 775-5930

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

Interoperability endpoints

  • Direct secure messaging: ahudsonfraley225820@direct.unc.nchie.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1730124173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 HANDLEY PARK CT",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341768",
            "telephone_number": "919-734-3344",
            "fax_number": "919-736-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 HANDLEY PARK CT",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341768",
            "telephone_number": "919-734-3344",
            "fax_number": "919-736-1352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Exposition Pl",
            "address_2": "Ste 111",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276151560",
            "country_code": "US",
            "telephone_number": "919-844-2226",
            "fax_number": "919-844-2219",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4420 Lake Boone Trl",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276077505",
            "country_code": "US",
            "telephone_number": "919-567-6133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDSON-FRALEY",
        "first_name": "ANITA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NC",
            "license": "96-00366",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "9600366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahudsonfraley225820@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "4420 Lake Boone Trl",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276077505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

Verify at the official NPI Registry.