Loren Jared Hudspeth (NPI# 1043547979, PAC ID# 0941513444) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1043547979 |
| PAC ID by PECOS | 0941513444 |
| Professional Enrollment ID | I20191003001266 |
| Full Name | Loren Jared Hudspeth |
| Organization Legal Name | PIEDMONT SPORTS MEDICINE AND ORTHOPAEDIC CLINIC, PC |
| Address |
4660 Riverside Park Blvd Macon GA 31210-1395 |
| Phone Number | 4784742114 |
| Gender | M |
| Medical School | MERCER UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 6103817960 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110201 | COLISEUM NORTHSIDE HOSPITAL |
| 110164 | COLISEUM MEDICAL CENTERS, LLC, DBA |
| Address | Phone | Organization |
|---|---|---|
| 4660 Riverside Park Blvd, Macon, GA 31210-1395 | 4784742114 | PIEDMONT SPORTS MEDICINE AND ORTHOPAEDIC CLINIC, PC |
| Organization Legal Name | PIEDMONT SPORTS MEDICINE AND ORTHOPAEDIC CLINIC, PC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua S Young | Nurse Practitioner | Piedmont Sports Medicine and Orthopaedic Clinic, PC | 4660 Riverside Park Blvd, Macon, GA 31210-1395 |
| Daniel K Grahl Iii | Orthopedic Surgery | Piedmont Sports Medicine and Orthopaedic Clinic, PC | 4660 Riverside Park Blvd, Macon, GA 31210-1395 |
| Christina A Peppers | Nurse Practitioner | Piedmont Sports Medicine and Orthopaedic Clinic, PC | 4660 Riverside Park Blvd, Macon, GA 31210-1395 |
| Mef Durri Galle | General Practice | Piedmont Sports Medicine and Orthopaedic Clinic, PC | 4660 Riverside Park Blvd, Macon, GA 31210-1395 |
| Joseph R Pioquinto | Physical Therapy | Piedmont Sports Medicine and Orthopaedic Clinic, PC | 4660 Riverside Park Blvd, Macon, GA 31210-1395 |
| Street Address |
4660 RIVERSIDE PARK BLVD |
| City | MACON |
| State | GA |
| Zip | 31210-1395 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua S Young | Nurse Practitioner | Piedmont Sports Medicine and Orthopaedic Clinic, PC | 4660 Riverside Park Blvd, Macon, GA 31210-1395 |
| Daniel K Grahl Iii | Orthopedic Surgery | Piedmont Sports Medicine and Orthopaedic Clinic, PC | 4660 Riverside Park Blvd, Macon, GA 31210-1395 |
| Christina A Peppers | Nurse Practitioner | Piedmont Sports Medicine and Orthopaedic Clinic, PC | 4660 Riverside Park Blvd, Macon, GA 31210-1395 |
| Mef Durri Galle | General Practice | Piedmont Sports Medicine and Orthopaedic Clinic, PC | 4660 Riverside Park Blvd, Macon, GA 31210-1395 |
| Joseph R Pioquinto | Physical Therapy | Piedmont Sports Medicine and Orthopaedic Clinic, PC | 4660 Riverside Park Blvd, Macon, GA 31210-1395 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William S Hutchings | Family Medicine | Hutchings Health Care | 3096 Riverside Dr, Suite D, Macon, GA 31210-0420 |
| Dusty W Large | Chiropractic | 3040 Riverside Dr, Suite B3, Macon, GA 31210-0470 | |
| Billie L Jackson | Dermatology | 440 Charter Blvd, Ste. 2201, Macon, GA 31210-0706 | |
| Hyunji Choi | Dermatology | Dermatology Affiliates LLC | 440 Charter Blvd, Suite 2201, Macon, GA 31210-0706 |
| Valerie Jones-freeman | Internal Medicine | 420 Charter Blvd, Suite 306, Macon, GA 31210-0715 | |
| Joseph J Burnette | General Surgery | 420 Charter Blvd, Suite 302, Macon, GA 31210-0720 | |
| Laurie G Johnson | Nurse Practitioner | Peter O. Holliday IIi, Md, PC | 420 Charter Blvd, Suite 402, Macon, GA 31210-0722 |
| Pamela Onderko | Podiatry | 5223 Riverside Dr, Suite 104, Macon, GA 31210-0889 | |
| William J Woods | Internal Medicine | 220 N Macon St, Macon, GA 31210-1111 | |
| Torrence T Drakeford | Nurse Practitioner | Navicare LLC | 4795 Riverside Dr, Macon, GA 31210-1115 |
| Find all physicians in zip 31210 | |||
| City | MACON |
| Zip Code | 31210 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | MACON + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Loren Jared Hudspeth.
| 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.