KEVIN RAY HUDSON PA
NPI 1013310291
Physician Assistant in Johnson City, TN

Q: What is Kevin Hudson's NPI number?

The NPI number for Kevin Hudson is 1013310291. It was assigned to this individual provider in the NPPES registry on October 2, 2014.

Q: What is Kevin Hudson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Hudson was last updated on January 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 02, 2014PECOS EnrolledAccepts Medicare Assignment

410 N STATE OF FRANKLIN RD STE 140, JOHNSON CITY, TN 37604(423) 431-2460(423) 431-2465 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 12, 2026, Aug 5, 2025, Dec 31, 2020 and 1 more (4 updates tracked since 2020).

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About Kevin Ray Hudson Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN RAY HUDSON PA (NPI 1013310291) is an individual physician assistant in Johnson City, Tennessee, licensed in Tennessee (2617) and active in the NPI registry since October 2014. He is enrolled in Medicare PECOS, is affiliated with Johnson City Medical Center, and maintains a secondary practice location in Watkinsville.

NPPES Registry Identity

NPI1013310291

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameKEVIN RAY HUDSONCredential: PA

Location Address410 N STATE OF FRANKLIN RD STE 140Johnson City, TN 37604-6972

Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 952-2111

Phone(423) 431-2460

Fax(423) 431-2465

Sole ProprietorNo

Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2014

Enumeration DateOctober 2, 2014

Last NPPES UpdateJanuary 12, 20264 updates tracked since enumeration

NPPES CertifiedJanuary 12, 2026

✔ NPI 1013310291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in TN · 2617✔ Licensed in GA · 10091

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 2617 (TN)

410 N STATE OF FRANKLIN RD STE 140, Johnson City, TN 37604

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Secondary Practice Location 1

Location 11305 Jennings Mill Rd, Bldg 300 Ste 110Watkinsville, GA 30677-7241 · Phone (706) 613-5880

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kevin Ray Hudson Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224353529

PECOS Enrollment IDI20150209000738, I20201222003096

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement 27236

This procedure involves treating a fracture at the top of your thigh bone. A stabilizing device or prosthetic replacement is placed to aid in healing. This helps restore mobility and function while reducing pain. The treatment aims for a quick and safe recovery.

17 services17 patients

Treatment of broken neck of thigh bone with bone implant 27245

This procedure involves repairing a fractured thigh bone by inserting a bone implant. The implant helps stabilize the bone, allowing it to heal correctly. It's performed under anesthesia and requires a hospital stay for recovery.

12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440063

Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL E. KRENK MD

Orthopaedic Surgery (Orthopaedic Trauma)