JONATHAN RYAN HUDSON
NPI 1861091266
Nurse Practitioner - Family in Signal Mountain, TN

Active since October 19, 2020PECOS Enrolled
329 AULT RD STE B, SIGNAL MOUNTAIN, TN 37377(423) 822-8432 Get Directions Write a Review

NPPES record last updated: October 21, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jonathan Ryan Hudson NPPES

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

JONATHAN RYAN HUDSON (NPI 1861091266) is an individual family provider in Signal Mountain, Tennessee, licensed in Tennessee (0000027716) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Oglethorpe.

NPPES Registry Identity

NPI1861091266
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJONATHAN RYAN HUDSON
Location Address329 AULT RD STE BSignal Mountain, TN 37377-3126
Mailing AddressPo Box 93Signal Mountain, TN 37377-0093 · (423) 521-5404 · Fax (706) 406-2922
Sole ProprietorNo
Enumeration DateOctober 19, 2020
Last NPPES UpdateOctober 21, 2020
NPPES CertifiedOctober 21, 2020
✔ NPI 1861091266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in TN · 0000027716✔ Licensed in GA · RN242148
329 AULT RD STE B, Signal Mountain, TN 37377

Secondary Practice Location 1

Location 188 Stuart Rd Ste 88Fort Oglethorpe, GA 30742-4047 · Phone (706) 237-8607

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan Ryan 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.

Medicare Billing Reassignment

Medicare enrollment records show Jonathan Hudson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
210 WESTWOOD PL STE 110
Brentwood, TN 37027
  • Reassigned Medicare billing, Tennessee enrollment
  • 40 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37377 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
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
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

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

Family Medicine
329 AULT RD STE B
SIGNAL MOUNTAIN, TN 37377

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Hudson's NPI number?

The NPI number for Jonathan Hudson is 1861091266. It was assigned to this individual provider in the NPPES registry on October 19, 2020.

Where is Jonathan Hudson located?

Jonathan Hudson practices at 329 Ault Rd Ste B, Signal Mountain, TN 37377. The listed phone number is (423) 822-8432.

What is Jonathan Hudson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jonathan Hudson enrolled in Medicare?

Yes. Jonathan Hudson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jonathan Hudson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Hudson reassigns Medicare benefits to Landmark Medical Of Tennessee PC (Brentwood, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jonathan Hudson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jonathan Hudson was last updated on October 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.