Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kevin Ray Hudson, PA

Individual provider Physician Assistant · NPI 1013310291

Kevin Ray Hudson, PA is a Physician Assistant in Johnson City, Tennessee. Graduated from Lincoln Memorial University Medical Department in 2014, 12 years ago. Practices with Wellmont Medical Associates Inc, a 435-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia and Tennessee.

Years since qualifying
12
Trained at
Lincoln Memorial University Medical Department
Licensed in
GA, TN
In the registry since
2014
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

410 N State Of Franklin Rd Ste 140
Johnson City, TN 37604-6972
Phone: (423) 431-2460
Fax: (423) 431-2465
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1305 Jennings Mill Rd, Watkinsville, GA 30677-7241 — (706) 613-5880

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2617 (TN)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 2617 (TN)
Physician Assistant Taxonomy 363A00000X · Licence 10091 (GA)

Record details

NPI number1013310291
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 2, 2014
Last updated in NPPESJanuary 12, 2026
Certification dateJanuary 12, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolLINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduated 2014 (12 years in practice)
Group practice Wellmont Medical Associates Inc — 435 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Johnson City