Active NPI
Jade Hudson
- Nurse Practitioner
- Columbia, SC
National Provider Identifier
1821702259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AC007039
- Practice address
- 1601 Greene St
Columbia, SC 29208-4001 - Phone
- (803) 777-7412
- NPI assigned
- Jan 10, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AC007039 | MD | Primary |
Addresses
Primary practice location
1601 Greene St
Columbia, SC 29208-4001
Mailing address
1601 Greene St
Columbia, SC 29208-4001
Phone (803) 777-7412
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Hospital Rd
Prince Frederick, MD 20678-4016
Phone (410) 535-4000
Hospital & facility affiliations
- Calverthealth Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mdics at Calvert LLC | Current | Accepting new patients |
Locations
100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791
Organizations & group practices 1
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.
-
- Hospitalist Physician
- Prince Frederick, MD
- NPI 1033404207
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Prince Frederick, MD
- NPI 1457389298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733961600000",
"number": "1821702259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 GREENE ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292084001",
"telephone_number": "803-777-7412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 GREENE ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292084001",
"telephone_number": "803-777-7412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "JADE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-10",
"last_updated": "2024-12-12",
"certification_date": "2024-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "AC007039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.