Individual provider Active NPI

Whitney Hudman, MD

  • Family Medicine Physician
  • Woodland, AL
National Provider Identifier
1831683747
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.43192 Issued in AL
Practice address
76 County Road 64 Ste 3
Woodland, AL 36280-5211
Phone
(256) 449-2001
Fax
(256) 449-2174
NPI assigned
Jun 15, 2018
Last updated
Sep 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Student in an Organized Health Care Education/Training Program 390200000X L.4777 AL
Family Medicine Physician 207Q00000X MD.43192 AL Primary

Addresses

Primary practice location

76 County Road 64 Ste 3
Woodland, AL 36280-5211

Mailing address

706 Dixie St Ste 220
Carrollton, GA 30117-3889
Phone (770) 838-8710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20211006003300 AL Practitioner - Family Practice 8921406802 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMC Woodland Family Healthcare, Inc.Group PAC ID 3173681566, 2 clinicians

Practice addresses (Care Compare)

76 County Rd
64 Suite 3
Woodland, AL 36280-5211
Phone (256) 449-2001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.43192ALMDFamily Medicine Physician
L.4777ALMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Tanner Primary Care of Wedowee Inc Family Medicine CurrentSince Jun 24, 2023 Accepting new patients
TMC Woodland Family Healthcare, Inc. Family Medicine CurrentSince Oct 1, 2021 Accepting new patients

Locations

1030 Main St S
Wedowee, AL 36278
Phone (256) 357-2188

76 County Road 64
Ste 3
Woodland, AL 36280
Phone (256) 449-2001

706 Dixie St
Ste 220
Carrollton, GA 30117
Phone (770) 812-8825

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.

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": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1831683747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 DIXIE ST STE 220",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173889",
            "telephone_number": "770-838-8710",
            "fax_number": "770-812-5735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 COUNTY ROAD 64 STE 3",
            "city": "WOODLAND",
            "state": "AL",
            "postal_code": "362805211",
            "telephone_number": "256-449-2001",
            "fax_number": "256-449-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDMAN",
        "first_name": "WHITNEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-15",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AL",
            "license": "L.4777",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.43192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland, AL

Sources for this page

Verify at the official NPI Registry.