RICKEY H. HUDSON, SR. M.D. – NPI #1609981752
Family Medicine

A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.

RICKEY HUDSON, SR. is a physician located in MEMPHIS, TN. NPPES has assigned the NPI number 1609981752 to RICKEY HUDSON, SR. on August 20, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207QA0000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adolescent Medicine

The NPI profile was previously updated about 16 years ago on Sep 10, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RICKEY HUDSON, SR. below.

NPI Profile for
RICKEY H. HUDSON, SR.

NPI Number
1609981752
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
RICKEY H. HUDSON, SR.
Credentials
M.D.
Primary location
4299 ELVIS PRESLEY BLVD.
MEMPHIS, TN 38116-6084
Phone: (901) 332-5873 Fax: (901) 332-6084
Mailing address
P.O. BOX 30384
MEMPHIS, TN 38130-0384
Phone: (901) 332-5873 Fax: (901) 332-6084
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for RICKEY HUDSON, SR.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSS BLUE SHEILDTN0165491
MEDICAIDTN116899
MEDICAIDTN3032169
MEDICAIDTN0165491
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0000X
- Family Medicine / Adolescent Medicine (Primary)
TN MD016565
207Q00000X
- Family Medicine
TN 018656

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.