Deidre J Hudson, MD

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Practice address

201 Business Center Dr
Pawleys Island, SC 29585-6522

Phone

(888) 467-1117

Fax

(888) 990-3903

NPI assigned

Feb 2, 2006

Last updated

Oct 19, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Deidre J Hudson-Stanton Former name

Medicare fee-for-service enrollment

Enrolled in SC

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

Family Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sandhills Medical Foundation, Inc.Group PAC ID 8224949821, shared by 10 NPIs, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kershawhealth Hospital, Camden, SC, CCN 420048
• Musc Health Columbia Medical Center Downtown Hospital, Columbia, SC, CCN 420026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Sandhills Medical Foundation, Inc.

  dba Sandhills Medical Foundation-Bethune

  • Federally Qualified Health Center (FQHC)
  • Bethune, SC
  • NPI 1083228779

  Clinic/Center

  Medicare reassignment NPD
• Sandhills Medical Foundation, Inc.

  • Federally Qualified Health Center (FQHC)
  • McBee, SC
  • NPI 1568541597

  Family Medicine

  Medicare reassignment NPD
• Sandhills Medical Foundation, Inc.

  dba Sandhills Medical Foundation- Pageland

  • Federally Qualified Health Center (FQHC)
  • Pageland, SC
  • NPI 1780398461

  Clinic/Center

  Medicare reassignment NPD
• Sandhills Medical Foundation, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ruby, SC
  • NPI 1922584481

  Clinic/Center

  Medicare reassignment NPD
• South Carolina Dept of Mental Health Accounting Office

  dba Highway to Hope Tri-County Primary Care

  • Primary Care Nurse Practitioner
  • Bennettsville, SC
  • NPI 1295332690

  Clinic/Center

  Medicare reassignment NPD
• St Francis Physician Services Inc

  dba Bon Secours Covenant Primary Care

  • Internal Medicine Physician
  • Greenville, SC
  • NPI 1871895771

  Family Medicine

  Medicare reassignment NPD
• Sandhills Medical Foundation, Inc.

  • Federally Qualified Health Center (FQHC)
  • Kershaw, SC
  • NPI 1386902542

  Clinic/Center

  NPD
• Sandhills Medical Foundation, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lugoff, SC
  • NPI 1487712923

  Family Medicine

  NPD
• Sandhills Medical Foundation, Inc.

  • Federally Qualified Health Center (FQHC)
  • Camden, SC
  • NPI 1720372949

  Clinic/Center

  NPD
• Sandhills Medical Foundation, Inc.

  • Federally Qualified Health Center (FQHC)
  • Sumter, SC
  • NPI 1780742825

  Family Medicine

  NPD
• St Francis Physician Services Inc

  dba Bon Secours Primary Care Mauldin

  • Family Medicine Physician
  • Mauldin, SC
  • NPI 1841668670
  NPD
• Lexington County Health Services District, Inc.

  dba Lexington Medical Center Irmo

  • Radiology Clinic/Center
  • Columbia, SC
  • NPI 1811922164
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Medical University Hospital Authority

  dba MUSC Health Columbia Medical Center Northeast

  • General Acute Care Hospital
  • Columbia, SC
  • NPI 1285200105
  Care Compare affiliation
• Medical University Hospital Authority

  dba MUSC Health Senior Retreat

  • Psychiatric Hospital
  • Camden, SC
  • NPI 1306416680
  Care Compare affiliation
• Medical University Hospital Authority

  dba MUSC Health Kershaw Medical Center

  • General Acute Care Hospital
  • Camden, SC
  • NPI 1487220307
  Care Compare affiliation
• Medical University Hospital Authority

  dba MUSC Health Columbia Medical Center Downtown

  • General Acute Care Hospital
  • Columbia, SC
  • NPI 1558937474
  Care Compare affiliation
• Medical University Hospital Authority

  • Urgent Care Clinic/Center
  • Columbia, SC
  • NPI 1578402764

  Hospital

  Care Compare affiliation
• Medical University Hospital Authority

  dba MUSC Health Fairfield Emergency and Imaging Center

  • Clinic/Center
  • Winnsboro, SC
  • NPI 1811563737

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445212800000",
    "number": "1902878218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 BUSINESS CENTER DR",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295856522",
            "telephone_number": "888-467-1117",
            "fax_number": "888-990-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 BUSINESS CENTER DR",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295856522",
            "telephone_number": "888-467-1117",
            "fax_number": "888-990-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "DEIDRE",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2015-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "19084",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190849",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEIDRE",
            "last_name": "HUDSON-STANTON",
            "middle_name": "J",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kaitlyn Hill, PT
• Kent Jack Homnick, MD
• Thomas Nathaniel Howard, M.D.
• Toni Howard
• Carmen Elane Hudson, COTA L
• Eric R Hyer, PT
• John Dewey Hynes, M.D.
• John K Ijem, M.D.
• Jennifer Leigh Ingram, COTA/L
• Inlet Cardiopulmonary & Associates, PA

• Clinic/Center in Pawley's Island, SC
• Providers in Pawley's Island, SC by specialty
• Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; 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.