Active NPI
Hudson Jackson Owen Jr., P.A.-C
- Physician Assistant
- Dublin, GA
National Provider Identifier
1770548984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 000148
- Practice address
- 206A Hospital Dr
Dublin, GA 31021-2989 - Phone
- (478) 272-3525
- Fax
- (478) 272-3504
- NPI assigned
- Apr 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 000148 | GA | Primary |
Addresses
Primary practice location
206A Hospital Dr
Dublin, GA 31021-2989
Mailing address
206 Hospital Dr Ste a
Dublin, GA 31021-2560
Phone (478) 272-3525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Cardiology Associates PC | Current | Accepting new patients | |
| Dublin-Macon Cardiology, PC | Current | Accepting new patients | |
| Sterling Emergency Services of the Southeast Inc | Past | Accepting new patients | |
| Washington County Internal Medicine, P.C. | Past | Accepting new patients |
Locations
200 Industrial Blvd
Dublin, GA 31021
Phone (478) 274-3865
206 Hospital Dr
Ste A
Dublin, GA 31021
Phone (478) 272-3525
Interoperability endpoints
- hudson.owen@cad.gadirect.net
- clinical@dmcardio.directbygreenway.com
Organizations & group practices 4
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.
-
- Cardiovascular Disease Physician
- Dublin, GA
- NPI 1891918264
-
- Specialist
- Macon, GA
- NPI 1124077946
-
- Emergency Medicine Physician
- Eatonton, GA
- NPI 1992763627
-
- Internal Medicine Physician
- Wrightsville, GA
- NPI 1336390871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433462400000",
"number": "1770548984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 HOSPITAL DR STE A",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310212560",
"telephone_number": "478-272-3525",
"fax_number": "478-272-3504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206A HOSPITAL DR",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310212989",
"telephone_number": "478-272-3525",
"fax_number": "478-272-3504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWEN",
"first_name": "HUDSON",
"middle_name": "JACKSON",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "P.A.-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2015-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "000148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dublin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.