Individual provider Active NPI

Ava Deon Hudson, MD

  • Internal Medicine Physician
  • Charlotte, NC
National Provider Identifier
1780801282
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2016-00211 Issued in NC
Practice address
3607 Beatties Ford Rd
Charlotte, NC 28216-3249
Phone
(704) 394-8968
Fax
(704) 394-8967
NPI assigned
Apr 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2016-00211 NC Primary

Addresses

Primary practice location

3607 Beatties Ford Rd
Charlotte, NC 28216-3249

Mailing address

3607 Beatties Ford Rd
Charlotte, NC 28216-3249
Phone (704) 394-8968

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160513001416 NC Practitioner - Internal MedicinePractitioner - Family Practice 2668656323 Reassigns benefits to 1 organization
I20250116003567 SC Practitioner - Internal Medicine 2668656323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaufort Jasper Hampton Comprehensive Health Services IncGroup PAC ID 5597675728, 35 clinicians

Practice addresses (Care Compare)

721 N Okatie Hwy
Ridgeland, SC 29936-8276

Hospital & facility affiliations

  • Beaufort County Memorial Hospital Hospital, Beaufort, SC, CCN 420067
  • Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57.010725OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cabarrus Rowan Community Health Centers, Inc. CurrentSince Apr 1, 2021 Accepting new patients
Cabarrus Rowan Community Health Centers, Inc. Current Accepting new patients
Cabarrus Rowan Community Health Centers, Inc. CurrentSince Apr 1, 2021 Accepting new patients
Beaufort Jasper Hampton Comprehensive Health Services, Inc. CurrentSince Dec 30, 2024 Accepting new patients
Beaufort Jasper Hampton Comprehensive Health Services, Inc CurrentSince Dec 30, 2024 Accepting new patients
Beaufort-Jasper-Hampton Comprehensive Health Service Inc Past Accepting new patients

Locations

202D McGill Ave NW
Concord, NC 28025
Phone (704) 792-2242

721 Okatie Hwy
Okatie, SC 29909

1320 Ribaut Rd
Port Royal, SC 29935
Phone (843) 322-1833

721 N Okatie Hwy
Ridgeland, SC 29936
Phone (843) 987-7492

Interoperability endpoints

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

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1780801282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3607 BEATTIES FORD RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282163249",
            "telephone_number": "704-394-8968",
            "fax_number": "704-394-8967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3607 BEATTIES FORD RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282163249",
            "telephone_number": "704-394-8968",
            "fax_number": "704-394-8967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "AVA",
        "middle_name": "DEON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2016-00211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.