Individual provider Active NPI

Olivia Leigh Hudgins

  • Family Nurse Practitioner
  • Columbus, GA
National Provider Identifier
1740892439
Registry record updated Aug 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F07200047 Issued in GA
Practice address
2101 North Ave
Columbus, GA 31904-8806
Phone
(706) 221-8799
NPI assigned
Aug 23, 2020
Last updated
Aug 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2020

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 F07200047 GA Primary

Addresses

Primary practice location

2101 North Ave
Columbus, GA 31904-8806

Mailing address

446 Shadow Wood Dr
Smiths Station, AL 36877-4838
Phone (706) 464-6660

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
I20210524000241 GA Practitioner - Nurse Practitioner 8224437363 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F07200047GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shamil PC CurrentSince Jul 29, 2023 Accepting new patients
Sai Nursing Home Services, LLC CurrentSince Dec 3, 2023 Accepting new patients

Locations

1479 Grove Park Dr
Columbus, GA 31904
Phone (706) 222-7188

2040 Warm Springs Rd
Columbus, GA 31904
Phone (706) 304-8913

2320 Hamilton Rd
Columbus, GA 31904
Phone (706) 324-0297

400 Bradley Park Dr
Columbus, GA 31904
Phone (706) 322-3040

5363 Veterans Pkwy
Columbus, GA 31904
Phone (706) 507-5441

6830 River Rd
Columbus, GA 31904
Phone (706) 653-9191

7150 Manor Rd
Columbus, GA 31907
Phone (706) 561-3218

8414 Whitesville Rd
Columbus, GA 31904
Phone (706) 225-1100

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": "1598140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598140800000",
    "number": "1740892439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 SHADOW WOOD DR",
            "city": "SMITHS STATION",
            "state": "AL",
            "postal_code": "368774838",
            "telephone_number": "706-464-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 NORTH AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319048806",
            "telephone_number": "706-221-8799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDGINS",
        "first_name": "OLIVIA",
        "middle_name": "LEIGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-23",
        "last_updated": "2020-08-23",
        "certification_date": "2020-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "F07200047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.