Theodore Lee Hudson Sr., LPN
NPI 1093519654ActiveIndividual· Licensed Practical Nurse· Myrtle Beach, SC
Licensed Practical Nurse (LPN) in Myrtle Beach, South Carolina, licensed in GA, with an NPI issued in April 2025.
Overview
| NPI | 1093519654 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPN |
| Sole proprietor | No |
| NPI issued | Apr 2, 2025 |
| Last updated in NPPES | Apr 2, 2025 |
| Certified by provider | Apr 2, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 094328 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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