Individual provider Active NPI

Caleb Blaine Hudspath, DO

  • Gastroenterology Physician
  • Fort Bragg, NC
National Provider Identifier
1891143053
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
1754 Issued in NE
Practice address
2817 Rock Merritt Avenue
Fort Bragg, NC 28310-0001
Phone
(910) 907-8412
NPI assigned
May 28, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 2023-02353 NC
Gastroenterology Physician 207RG0100X 1754 NE Primary
Gastroenterology Physician 207RG0100X 87948 SC

Addresses

Primary practice location

2817 Rock Merritt Avenue
Fort Bragg, NC 28310-0001

Mailing address

2817 Rock Merritt Avenue
Fort Bragg, NC 28310-0001

Other practice location 1

1520 Physicians Dr
Wilmington, NC 28401-7356
Phone (910) 662-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 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
I20230504000114 SC Practitioner - Gastroenterology 7618221102 Reassigns benefits to 3 organizations
I20251006002148 NC Practitioner - Gastroenterology 7618221102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1520 Physicians Dr
Wilmington, NC 28401-7356
Phone (910) 662-8300

401 E Cheves St
Suite 201
Florence, SC 29506-2615
Phone (843) 777-7951

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
87948SCMDGastroenterology Physician
1754NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Self Medical Group CurrentSince May 1, 2023 Accepting new patients
McLeod Physician Associates II CurrentSince Sep 1, 2023 Accepting new patients
Self Medical Group Current Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Dec 14, 2024 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Gastroenterology CurrentSince Dec 14, 2024 Accepting new patients
Self Medical Group CurrentSince May 1, 2023 Accepting new patients
Novant Health Medical Group Coastal Region, LLC Gastroenterology CurrentSince Aug 6, 2025 Accepting new patients
Novant Health Medical Group Coastal Region, LLC Current Accepting new patients
McLeod Physician Associates II CurrentSince Sep 1, 2023 Accepting new patients
NMG Health Services LLC CurrentSince Aug 6, 2025 Accepting new patients
Self Medical Group Gastroenterology PastSince May 7, 2024 Accepting new patients
Self Regional Healthcare Past Accepting new patients

Locations

75 Remittance Dr
Dept 6764
Chicago, IL 60675

800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164

1520 Physicians Dr
Wilmington, NC 28401
Phone (910) 662-8300

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

506 E Cheves St
#202
Florence, SC 29506

401 E Cheves St
Ste 301
Florence, SC 29506
Phone (843) 777-7166

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

401 E Cheves St
Ste 201
Florence, SC 29506
Phone (843) 777-7951

160 Academy Ave
Greenwood, SC 29646
Phone (864) 223-7809

22580 Highway 76 E
Ste 200
Laurens, SC 29360
Phone (864) 725-1480

2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866

Interoperability endpoints

  • Direct secure messaging: chudspath1728155@direct.novanthealth.org
  • Direct secure messaging: chudspath539657@selfregional.direct-ci.net

Organizations & group practices 12

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": "1464393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1891143053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 ROCK MERRITT AVENUE",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283100001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 ROCK MERRITT AVENUE",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283100001",
            "telephone_number": "910-907-8412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 Physicians Dr",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284017356",
            "country_code": "US",
            "telephone_number": "910-662-8300",
            "fax_number": "910-662-8361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDSPATH",
        "first_name": "CALEB",
        "middle_name": "BLAINE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-28",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "2023-02353",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NE",
            "license": "1754",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "SC",
            "license": "87948",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Bragg, NC

Sources for this page

Verify at the official NPI Registry.