Janice M Hudson (NPI# 1104960483, PAC ID# 8325022841) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1104960483 |
| PAC ID by PECOS | 8325022841 |
| Professional Enrollment ID | I20040614001150 |
| Full Name | Janice M Hudson |
| Organization Legal Name | PENSACOLA PRIMARY CARE INC |
| Address |
4244 Avalon Blvd Milton FL 32583-2808 |
| Phone Number | 8504944600 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | FAMILY PRACTICE |
| Secondary Specialties | HOSPICE/PALLIATIVE CARE |
| Group Practice PAC ID | 6002718343 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100231 | WEST FLORIDA HOSPITAL |
| 100124 | SANTA ROSA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4244 Avalon Blvd, Milton, FL 32583-2808 | 8504944600 | PENSACOLA PRIMARY CARE INC |
| Organization Legal Name | PENSACOLA PRIMARY CARE INC |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sean Ashley Tolbert | Nurse Practitioner | Pensacola Primary Care Inc | 2360 Us Hwy 29 S, Cantonment, FL 32533 |
| Tavaris R Brooks Sr. | Nurse Practitioner | Pensacola Primary Care Inc | 7458 Pine Forest Rd, Pensacola, FL 32526-8818 |
| Vicki L Hankins | Nurse Practitioner | Pensacola Primary Care Inc | 4262 Woodbine Rd, Pace, FL 32571-8703 |
| Bill T Bautsch Jr. | Internal Medicine | Pensacola Primary Care Inc | 4244 Avalon Blvd, Milton, FL 32583-2808 |
| Joe A Dunn Jr. | Family Medicine | Pensacola Primary Care Inc | 321 E Fairfield Dr, Pensacola, FL 32506-4990 |
| William S Willis | Family Medicine | Pensacola Primary Care Inc | 4601 Spanish Trl, Pensacola, FL 32504-5039 |
| Christopher H Rush | Family Medicine | Pensacola Primary Care Inc | 6431 N W St, Pensacola, FL 32505-1719 |
| Benjamin L Konell | Family Medicine | Pensacola Primary Care Inc | 321 E Fairfield Dr, Pensacola, FL 32506-4990 |
| Rex D Delaune | Family Medicine | Pensacola Primary Care Inc | 6431 N W St, Pensacola, FL 32505-1719 |
| Edward Anthony Schuka | Family Medicine | Pensacola Primary Care Inc | 1190 E Nine Mile Rd, Pensacola, FL 32514-1651 |
| Street Address |
4244 AVALON BLVD |
| City | MILTON |
| State | FL |
| Zip | 32583-2808 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bill T Bautsch Jr. | Internal Medicine | Pensacola Primary Care Inc | 4244 Avalon Blvd, Milton, FL 32583-2808 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edwin E Taylor | Family Medicine | Santa Rosa Hma Physician Management, LLC | 4264 Avalon Blvd, Milton, FL 32583-2808 |
| City | MILTON |
| Zip Code | 32583 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | MILTON + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Janice M Hudson.
| 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.