Jeannette Louise Hudgens, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME104883 Issued in FL

Practice address

4750 The Grove Dr Ste 280
Windermere, FL 34786-8427

Phone

(407) 704-7546

Fax

(321) 400-1109

NPI assigned

Apr 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Dermatology

Education

Medical College of Georgia School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology and Skin Cancer CenterGroup PAC ID 0749452134, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.36 of 100Reported as individual

Quality

72.72

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Dermatology and Skin Cancer Center

  • Specialist
  • Orlando, FL
  • NPI 1891001293
  Medicare reassignment Care Compare group Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1861618035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 THE GROVE DR STE 280",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347868427",
            "telephone_number": "407-704-7546",
            "fax_number": "321-400-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 THE GROVE DR STE 280",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347868427",
            "telephone_number": "407-704-7546",
            "fax_number": "321-400-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDGENS",
        "first_name": "JEANNETTE",
        "middle_name": "LOUISE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2023-05-08",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME104883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandi L Herring, LMHC
• Sarah Herrington
• Kelsey Anne Holder, MS CCC-SLP
• Holiday CVS LLC
• Horizon West Neurobehavioral Health
• Laurie Ann Hueckstaedt, ARNP
• Deborah Huffman, APRN
• Erika Huffman, RRT
• Lashae E Humphrey, MSN, APRN, PMHNP-BC
• Matthew David Hurbanis, M.D.

• Dermatology Physician in Windermere, FL
• Providers in Windermere, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.

Verify at the official NPI Registry.