CHARLES TAYLOR HUDSON
NPI 1104756345
Peer Specialist in Fairfax, SC

Q: What is Charles Hudson's NPI number?

The NPI number for Charles Hudson is 1104756345. It was assigned to this individual provider in the NPPES registry on May 20, 2026.

Q: What is Charles Hudson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Hudson was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 20, 2026PECOS Enrolled

333 REVOLUTIONARY TRL, FAIRFAX, SC 29827(803) 632-2533(803) 259-3250 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Charles Taylor Hudson NPPES

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

CHARLES TAYLOR HUDSON (NPI 1104756345) is an individual peer specialist in Fairfax, South Carolina, licensed in South Carolina (2733) and active in the NPI registry since May 2026. He is enrolled in Medicare PECOS and maintains a secondary practice location in Barnwell.

NPPES Registry Identity

NPI1104756345

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameCHARLES TAYLOR HUDSON

Location Address333 REVOLUTIONARY TRLFairfax, SC 29827-7109

Mailing Address333 Revolutionary TrlFairfax, SC 29827-7109 · (803) 632-2533 · Fax (803) 259-3250

Phone(803) 632-2533

Fax(803) 259-3250

Sole ProprietorYes

Enumeration DateMay 20, 2026

NPPES CertifiedMay 20, 2026

✔ NPI 1104756345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed in SC · 2733

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

333 REVOLUTIONARY TRL, Fairfax, SC 29827

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Secondary Practice Location 1

Location 186 Wren StBarnwell, SC 29812-1529 · Phone (803) 259-5762 · Fax (803) 259-3250

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles Taylor Hudson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 13

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

BAXTER MCLENDON M.D.

Ophthalmology