| Mr Jeremy David Hudson, FNP-C | |
|
203 Calhoun Station Pkwy, Building 200 Suite H, Madison, MS 39110-5546 | |
| (601) 612-0510 | |
| (601) 612-0509 |
| Full Name | Mr Jeremy David Hudson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 203 Calhoun Station Pkwy, Madison, Mississippi |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326437740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R879767 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Merit Health Madison | Canton, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bw Medical Llc | 0941653927 | 5 |
| Entity Name | Fast Pace Mississippi Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447769559 PECOS PAC ID: 3678832029 Enrollment ID: O20180111000291 |
| Entity Name | App Of Mississippi Ed Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730687740 PECOS PAC ID: 3971865858 Enrollment ID: O20180313002534 |
| Entity Name | Jackson Hb Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184305856 PECOS PAC ID: 6103273131 Enrollment ID: O20231113001051 |
| Entity Name | Bw Medical Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538933742 PECOS PAC ID: 0941653927 Enrollment ID: O20240125003014 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jeremy David Hudson, FNP-C 1710 Old Fannin Rd, Flowood, MS 39232-9004 Ph: (601) 487-9191 | Mr Jeremy David Hudson, FNP-C 203 Calhoun Station Pkwy, Building 200 Suite H, Madison, MS 39110-5546 Ph: (601) 612-0510 |
Catherine Elizabeth Clingan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 129 Fountains Blvd Ste 201, Madison, MS 39110 Phone: 769-300-0730 | |
Mallory Elizabeth Boggs, A-GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 159 Fountains Blvd Ste B, Madison, MS 39110 Phone: 601-859-8200 | |
Mary Hamilton Harkins, MSN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1082 Gluckstadt Rd, Madison, MS 39110 Phone: 601-707-5621 | |
Mrs. Sydney Mccary Ponder, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 Baptist Dr Ste 301, Madison, MS 39110 Phone: 601-973-1571 Fax: 601-973-1577 | |
Ms. Larona Rachelle Searcy, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 161 Woodland Dr, Madison, MS 39110 Phone: 601-503-0335 | |
Allison Ayers Cochran, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 102 Lexington Dr Ste 100, Madison, MS 39110 Phone: 601-973-1688 Fax: 601-973-1690 | |
Heather Hontzas, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 159 Fountains Blvd Ste A, Madison, MS 39110 Phone: 769-231-1400 |