Kevin Hudson (NPI# 1013310291, PAC ID# 8224353529) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1013310291 |
| PAC ID by PECOS | 8224353529 |
| Professional Enrollment ID | I20150209000738 |
| Full Name | Kevin Hudson |
| Organization Legal Name | WELLMONT MEDICAL ASSOCIATES INC |
| Address |
410 N State of Franklin Rd Suite 140 Johnson City TN 37604-6035 |
| Phone Number | 4234312460 |
| Gender | M |
| Medical School | LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8123291739 |
| Number of Group Practice Members | 296 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440017 | WELLMONT HOLSTON VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 410 N State of Franklin Rd, Suite 140, Johnson City, TN 37604-6035 | 4234312460 | WELLMONT MEDICAL ASSOCIATES INC |
| 111 W Stone Dr, Kingsport, TN 37660-6027 | WELLMONT MEDICAL ASSOCIATES INC | |
| 130 W Ravine Rd, Kingsport, TN 37660-3837 | 4232244000 | WELLMONT MEDICAL ASSOCIATES INC |
| Organization Legal Name | WELLMONT MEDICAL ASSOCIATES INC |
| Physicians | 303 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shirley J Davis | Nurse Practitioner | Wellmont Medical Associates Inc | 2202 N John B Dennis Hwy, Kingsport, TN 37660-5904 |
| Crystal L Stiltner | Family Medicine | Wellmont Medical Associates Inc | 405 Scenic Dr, Suite B, Rogersville, TN 37857-2441 |
| April A Wallace | Nurse Practitioner | Wellmont Medical Associates Inc | 671 Hwy 58 E, Norton, VA 24273-3007 |
| Jared Charles Abel | Nurse Practitioner | Wellmont Medical Associates Inc | 410 Stagecoach Rd, Bristol, VA 24201-8359 |
| Pamela Kelli Lane | Nurse Practitioner | Wellmont Medical Associates Inc | 2830 Hwy 394, Suite 4, Blountville, TN 37617-5577 |
| Jonathan M. Hutchins | Nurse Practitioner | Wellmont Medical Associates Inc | 310 3rd St Ne, Norton, VA 24273-1137 |
| Keressa L Clark | Nurse Practitioner | Wellmont Medical Associates Inc | 1220 Volunteer Pkwy, Bristol, TN 37620-4628 |
| Kayla J Joyce | Nurse Practitioner | Wellmont Medical Associates Inc | 115 Judge Gresham Rd, Gray, TN 37615-6213 |
| Morgan Cabell | Nurse Practitioner | Wellmont Medical Associates Inc | 2686 W State St, Bristol, TN 37620-1817 |
| Jacquelyn C Burt | Family Medicine | Wellmont Medical Associates Inc | 391 Falls Dr Nw, Abingdon, VA 24210-8093 |
| Street Address |
410 N STATE OF FRANKLIN RD SUITE 140 |
| City | JOHNSON CITY |
| State | TN |
| Zip | 37604-6035 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ted A White | Nurse Practitioner | Blue Ridge Medical Management Corporation | 410 N State of Franklin Rd, Suite 130, Johnson City, TN 37604-6972 |
| Juliette Rita-marie Marchant | Nurse Practitioner | Blue Ridge Medical Management Corporation | 410 N State of Franklin Rd, Suite 130, Johnson City, TN 37604-6972 |
| Tanzila Shams Kulman | Psychiatry | Blue Ridge Medical Management Corporation | 410 N State of Franklin Rd, Suite 135b, Johnson City, TN 37604-0000 |
| Sheree A Bray | General Surgery | Blue Ridge Medical Management Corporation | 410 N State of Franklin Rd, Suite 130, Johnson City, TN 37604-6972 |
| Summer Rae Culbert | Nurse Practitioner | Blue Ridge Medical Management Corporation | 410 N State of Franklin Rd, Suite 135, Johnson City, TN 37604-6972 |
| Nikki Helton | Nurse Practitioner | Blue Ridge Medical Management Corporation | 410 N State of Franklin Rd, Suite 135b, Johnson City, TN 37604-0000 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elnora Spradling | Medical Oncology | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Stephen A Cradic | Chiropractic | 206 Headtown Rd, Suite 100, Jonesbourough, TN 37604 | |
| Shweta Kharalkar | Hospitalist | Blue Ridge Medical Management Corporation | 408 N State of Franklin, Suite 24, Johnson City, TN 37604 |
| Devapiran Jaishankar | Medical Oncology | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Jamie E Carnell | Nurse Practitioner | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Sakshi Singal | Hematology/oncology | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Selma Zukic Kominek | Neurosurgery | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Kanishka Chakraborty | Medical Oncology | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Jessica Glasscock Mcgahey | Nurse Practitioner | Blue Ridge Medical Management Corporation | 400 N State of Franklin, Room Lk015, Johnson City, TN 37604-0000 |
| Adam Horn | Nurse Practitioner | Blue Ridge Medical Management Corporation | 403 N State of Franklin Rd, Johnson City, TN 37604-0000 |
| Find all physicians in zip 37604 | |||
| City | JOHNSON CITY |
| Zip Code | 37604 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | JOHNSON CITY + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.