TANDRA HUDSON (NPI# 1780236471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780236471 |
| Entity Type | Individual |
| Full Name | TANDRA HUDSON |
| Credential | CNM |
| Practice Address |
833 Campbell Hill St Nw Ste 400 Marietta GA 30060-1147 |
| Mailing Address |
1300 Upper Hembree Rd Ste D Roswell GA 30076-0927 |
| Practice Telephone | 7705280260 |
| Mailing Telephone | 7706706170 |
| Mailing Fax Number | 7706706171 |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2020-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
RN165619 | GA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1300 Upper Hembree Rd Ste D, Roswell, GA 300760927 | 7706706170 | 7706706171 |
| Street Address |
833 CAMPBELL HILL ST NW STE 400 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060-1147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801886536 | Wronda Jo Jordan | Advanced Practice Midwife | 833 Campbell Hill St Nw Ste 400, Marietta, GA 30060-1147 | 2005-10-25 |
| 1679992002 | Jolomi Naomi Iyoha | Obstetrics & Gynecology | 833 Campbell Hill St Nw Ste 400, Marietta, GA 30060-1147 | 2014-04-14 |
| 1962752139 | Amberly Winley | Obstetrics & Gynecology | 833 Campbell Hill St Nw Ste 400, Marietta, GA 30060 | 2012-09-14 |
| 1134485642 | Nagammai Nagappan | Obstetrics & Gynecology | 833 Campbell Hill St Nw Ste 400, Marietta, GA 30060 | 2012-04-09 |
| 1710168026 | Caroline M. Gibbons | Obstetrics & Gynecology | 833 Campbell Hill St Nw Ste 400, Marietta, GA 30060-1147 | 2007-11-15 |
| 1215927967 | Leslie A Haizlip | Advanced Practice Midwife | 833 Campbell Hill St Nw Ste 400, Marietta, GA 30060-1147 | 2005-10-25 |
| 1689664393 | James Stewart Smeltzer | Obstetrics & Gynecology | 833 Campbell Hill St Nw Ste 400, Wellstar Nw Women's Care, Marietta, GA 30060-1147 | 2005-10-25 |
| 1689664302 | Helen P Raulin | Advanced Practice Midwife | 833 Campbell Hill St Nw Ste 400, Marietta, GA 30060-1147 | 2005-10-25 |
| 1215927934 | Lana M Wertz | Advanced Practice Midwife | 833 Campbell Hill St Nw Ste 400, Marietta, GA 30060-1147 | 2005-10-25 |
| 1467442103 | Patty B Yelton | Advanced Practice Midwife | 833 Campbell Hill St Nw Ste 400, Marietta, GA 30060-1147 | 2005-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| Find all providers in zip 30060 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083034045 | Diane Chien Lin Goh | Obstetrics & Gynecology | 574 Church St Ne, Marietta, GA 30060-1358 | 2014-04-17 |
| 1609186360 | Sheema Khan | Obstetrics & Gynecology | 699 Church St Ne, Ste 220, Marietta, GA 30060-1116 | 2010-10-15 |
| 1568403319 | Karl Steinichen | Obstetrics & Gynecology | 833 Campbell Hill St Nw Ste 420, Marietta, GA 30060-1138 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649757907 | Atlanta Midtown Gynecology 2 LLC | Obstetrics & Gynecology | 842 N Highland Ave Ne Ste 250, Atlanta, GA 30306-4514 | 2018-07-19 |
| 1922481522 | Anna Carter | Obstetrics & Gynecology | 1700 Tree Ln Ste 290, Snellville, GA 30078-6748 | 2015-07-01 |
| 1164832101 | Desiree Ogbedei Ashong Simon | Obstetrics & Gynecology | 1300 Upper Hembree Rd Ste D, Roswell, GA 30076-0927 | 2014-04-29 |
| 1427303411 | Cynthia C Mercer Md PC | Obstetrics & Gynecology | 77 Weaver Rd Ste A, Blairsville, GA 30512-3136 | 2012-07-17 |
| 1972892388 | John Yongseung Lee | Obstetrics & Gynecology | 1325 Satellite Blvd Nw Bldg 700, Suwanee, GA 30024-4651 | 2011-04-06 |
| 1427235597 | Khadeja Haye | Obstetrics & Gynecology | 69 Jesse Hill Jr Dr, Atlanta, GA 30303 | 2008-01-30 |
| 1215111992 | Milledgeville Family Practice Center P.C. | Obstetrics & Gynecology | 540 W Thomas St Ste B, Milledgeville, GA 31061-2745 | 2007-12-18 |
| 1992984686 | Michael E Lynch Sr Md PC | Obstetrics & Gynecology | 230 W College St Ste A, Griffin, GA 30224-4249 | 2007-10-30 |
| 1770644650 | Robert H Weinfeld | Obstetrics & Gynecology | Dwight D. Eisenhower Army Medical Center, Bldg 300 Hospital Way, Ft. Gordon, GA 30905 | 2006-12-13 |
| 1073698197 | James D Woods | Obstetrics & Gynecology | 401 S Madison St, Albany, GA 31701-3111 | 2006-10-26 |
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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.