HUDSON MEDICAL GROUP INC (NPI# 1457541963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457541963 |
Entity Type | Organization |
Organization Name | HUDSON MEDICAL GROUP INC |
Practice Address |
735 Piedmont Ave Ne Atlanta GA 30308-1416 |
Practice Telephone | 4048816910 |
Practice Fax Number | 4048732347 |
Mailing Telephone | 4048816910 |
Mailing Fax Number | 4048732347 |
Enumeration Date | 2007-07-31 |
Last Update Date | 2008-05-29 |
Authorized Official Name | RICHARD HUDSON (OWNER) |
Authorized Official Telephone | 4048816910 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 030102 | GA | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | AETNA | 4391200 | 01 |
GA | 000352778B | 05 |
Street Address |
735 PIEDMONT AVE NE |
City | ATLANTA |
State | GA |
Zip Code | 30308-1416 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548260508 | John P Ouderkirk | Internal Medicine | 735 Piedmont Ave Ne, Atlanta, GA 30308-1416 | 2005-07-29 |
1730705047 | Aids Healthcare Foundation | Internal Medicine | 735 Piedmont Ave Ne, Atlanta, GA 30308-1416 | 2020-06-23 |
1316449895 | Aids Healthcare Foundation | Pharmacy | 735 Piedmont Ave Ne, Atlanta, GA 30308-1416 | 2018-03-01 |
1356851406 | Alexis Denice Mitchell | Family Medicine | 735 Piedmont Ave Ne, Atlanta, GA 30308-1416 | 2017-10-03 |
1356729164 | Aids Healthcare Foundation | Clinic/Center | 735 Piedmont Ave Ne, Atlanta, GA 30308-1416 | 2015-05-13 |
1861753816 | Delma Dee Gomez-adisa | Nurse Practitioner | 735 Piedmont Ave Ne, Atlanta, GA 30308-1416 | 2012-06-06 |
1518083617 | Patrice Y Marshall | Preventive Medicine | 735 Piedmont Ave Ne, Atlanta, GA 30308-1416 | 2007-03-21 |
1538216338 | Zandraetta L Tims-cook | Internal Medicine | 735 Piedmont Ave Ne, Atlanta, GA 30308 | 2007-01-04 |
1558430363 | Infectious Disease Group of Atlanta, LLC | Internal Medicine | 735 Piedmont Ave Ne, Atlanta, GA 30308-1416 | 2006-11-07 |
1417901653 | Sophie Alexandra Lukashok | Internal Medicine | 735 Piedmont Ave Ne, Atlanta, GA 30308-1416 | 2006-05-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689285165 | Grace Mckinnon Cutchin | Speech-Language Pathologist | 550 Peachtree St. Ne, 9th Floor, Suite 4400, Atlanta, GA 30308 | 2020-08-10 |
1063033942 | Life University | Chiropractor | 1 Baltimore P1. Nw, Suite 100, Atlanta, GA 30308 | 2020-05-01 |
1184254591 | Jordan Cohen | Specialist | 1075 Peachtree Rd, Suite 300, Atlanta, GA 30308 | 2020-01-24 |
1104463819 | Gary Sydney Koech IIi | Registered Nurse | Emory Midtown- Davis Fischer Bld 3rd Floor, Rm 3245a, 550 Peachtree Street, N.e., Atlanta, GA 30308 | 2019-12-02 |
1639728207 | Shannon Oliver Sullivan | Counselor | 1 Baltimore Pl Nw, Suite 360, Atlanta, GA 30308 | 2019-09-06 |
1477110187 | Ariel Alibey | Preventive Medicine | 550 Peachtree St Ne Bldg 4th, Atlanta, GA 30308 | 2019-05-29 |
1972075497 | Laura Mcrae | Nurse Practitioner | Emory Center for Critical Care, 550 Peachtree Street, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2018-12-21 |
1265902134 | Kyle Brooks Kraft | Nurse Practitioner | 550 Peachtree Road, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2018-12-04 |
1396211025 | Vita Judkins | Pharmacist | 240 Renaissance Pkway Ne, Unit 116, Atlanta, GA 30308 | 2018-10-20 |
1407345911 | Caitlin Cundiff | Anesthesiology | 550 Peachtree St Ne Ste 3245b, Atlanta, GA 30308 | 2018-05-09 |
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Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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1063960748 | Lynda Louise Parrish | Specialist | 842 N Highland Ave Ne Ste 223, Atlanta, GA 30306-4530 | 2016-09-12 |
1922551118 | Shelley Fondren | Specialist | 5817 Jamerson Dr, Atlanta, GA 30349-7018 | 2016-07-25 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.