Look up the most recent NPI and PECOS records

Thomas Neil Hudson

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

5003 Hardy St Ste 100, Hattiesburg, MS 39402-1331

PECOS Enrollment

This provider is enrolled in PECOS as THOMAS HUDSON.

Based on the most recent information from CMS, provider Thomas Neil Hudson is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1679050223
Provider Type
Individual
Full Name
Hudson, Thomas Neil
Credential
FNP

Gender
Male
Sole Proprietor
No
Enumeration Date
7/26/2018
Last Updated
12/11/2024

Contact Information

Practice Location

5003 Hardy St Ste 100, Hattiesburg, MS 39402-1331

(601) 296-3874

(601) 261-9847

Mailing Location

5003 Hardy St Ste 100, Hattiesburg, MS 39402-1331

(601) 296-3892

(601) 261-9847

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 902790 Mississippi
Code 207Q00000X	Description Family Medicine Allopathic & Osteopathic Physicians	License 902790 Mississippi

Thomas Neil Hudson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Perkins, Kayla Leigh Ashley

Plair, David Mallory

Barham, Kara Lynne

Pou, Lindsi

Runnels, Bridgette

Skaggs, Judy Pamela

Tomlinson, Donna Dimarco

Gant, Jarrod Edward

Brumfield, Shermanda M

Nelson, Ariale Marie