HUGHSTON CLINIC PC (NPI# 1104316652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104316652 |
| Entity Type | Organization |
| Organization Name | HUGHSTON CLINIC PC |
| Other Organization Name | THE HUGHSTON CLINIC, PC |
| Practice Address |
100 Medical Dr Ste 400 Dublin GA 31021-2561 |
| Mailing Address |
Po Box 370 Fortson GA 31808-0370 |
| Practice Telephone | 7063246661 |
| Mailing Telephone | 7064943071 |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2019-04-28 |
| Authorized Official Name | AMANDA GRACE FROMKIN (DIRECTOR OF CREDENTIALING) |
| Authorized Official Telephone | 7064943071 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE DME | 4725880022 | 01 |
| Other Name | Type Code |
|---|---|
| The Hughston Clinic, PC | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245778174 | Hughston Clinic PC | Durable Medical Equipment & Medical Supplies | 8400 Red Bug Lake Rd, Suite 2090, Oviedo, FL 32765-6828 | 2017-02-12 |
| 1457841900 | Hughston Clinic PC | Durable Medical Equipment & Medical Supplies | 100 N Macon St, Macon, GA 31210-6563 | 2018-05-10 |
| 1326584194 | Hughston Clinic PC | Durable Medical Equipment & Medical Supplies | 341 Racetrack Rd Nw, Ste B, Fort Walton Beach, FL 32547-1552 | 2017-01-17 |
| 1689120727 | Hughston Clinic PC | Durable Medical Equipment & Medical Supplies | 111 Highway 70 E, Suite 103, Dickson, TN 37055-2080 | 2016-08-29 |
| 1023448552 | Hughston Clinic PC | Durable Medical Equipment & Medical Supplies | 631 Professional Drive, Suite 170, Lawreneceville, GA 30046-7694 | 2013-11-19 |
| 1477983013 | Hughston Clinic PC | Durable Medical Equipment & Medical Supplies | 2000 10th Ave, Suite 270, Columbus, GA 31901 | 2013-11-18 |
| 1477986859 | Hughston Clinic PC | Durable Medical Equipment & Medical Supplies | 207 31st Ave Se, Moultrie, GA 31768-6703 | 2013-08-20 |
| 1700219227 | Hughston Clinic PC | Durable Medical Equipment & Medical Supplies | 202 S Madison St, Thomasville, GA 31792-5479 | 2013-08-20 |
| 1699951897 | Hughston Clinic PC | Durable Medical Equipment & Medical Supplies | 117 Oakland Pkwy, Leesburg, GA 31763-7201 | 2008-01-17 |
| Street Address |
100 MEDICAL DR STE 400 |
| City | DUBLIN |
| State | GA |
| Zip Code | 31021-2561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457971921 | Robert William Roethel | Physician Assistant | 100 Medical Dr Ste 400, Dublin, GA 31021-2561 | 2020-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497213748 | Ronald E. Johnson | Peer Specialist | Carl Vinson Va Medical Center, 1826 Veterans Blvd., Dublin, GA 31021 | 2019-03-06 |
| 1902384811 | Nieka Jackson | Pharmacist | 75 Woodlawn Dr, Apt. C-1, Dublin, GA 31021 | 2018-08-02 |
| 1407341522 | Empower Psychiatry & Weight Loss, LLC | Nurse Practitioner | 112 Rowe St Ste B, Dublin, GA 31021 | 2018-06-30 |
| 1619462207 | Kara Emily Frost | Speech-Language Pathologist | 1406 Bellevue Rd, Dublin, GA 31021 | 2018-06-26 |
| 1376035410 | Owens Speech Services, LLC | Speech-Language Pathologist | 401 Barfield Court, Dublin, GA 31021 | 2018-06-05 |
| 1558878884 | Tattnall Hospital Company, LLC | Neurological Surgery | 242 Industrial Blvd, Dublin, GA 31021 | 2018-01-09 |
| 1376991000 | Eatonton Facility Development Company, LLC | Hospice, Inpatient | 155 Greensboro Rd, Eatonton, GA 31021 | 2016-06-03 |
| 1801261177 | Jones Community Health Center, LLC | Clinic/Center | 115 Shadow Pond, Dublin, GA 31021 | 2015-12-11 |
| 1508237561 | Cancer Center of Middle Georgia | Specialist | 26 Erin Office Park, Dublin, GA 31021 | 2015-10-15 |
| 1922477249 | Mickey Jackson | Non-emergency Medical Transport (VAN) | 610 John Robinson Tl., Dublin, GA 31021 | 2015-09-16 |
| Find all providers in zip 31021 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1700438629 | Constance Camman Dds, Ltd | Durable Medical Equipment & Medical Supplies | 7219 Fallmill Rd Ste 205, Dublin, OH 43016-5006 | 2019-07-11 |
| 1841646197 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 525 Metro Pl N Ste 150, Dublin, OH 43017-7310 | 2016-05-05 |
| 1629437090 | Genesis5 LLC | Durable Medical Equipment & Medical Supplies | 7066 Village Parkway, Dublin, CA 94568 | 2016-02-15 |
| 1982031068 | Orthopedic One, Inc. | Durable Medical Equipment & Medical Supplies | 6840 Perimeter Dr, Dublin, OH 43016-8047 | 2013-10-03 |
| 1871937854 | Wellcome Technology | Durable Medical Equipment & Medical Supplies | 6937 Village Pkwy, #2650, Dublin, CA 94568 | 2013-04-22 |
| 1891063947 | Extraordinary Private Homecare Services LLC. | Durable Medical Equipment & Medical Supplies | 302 B-1 Ramsey St., Dublin, GA 31021 | 2011-12-05 |
| 1033494216 | J.h. Harvey Co., LLC | Durable Medical Equipment & Medical Supplies | 1945 Veterans Blvd, Dublin, GA 31021-3001 | 2011-10-19 |
| 1285913087 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 2800 Dublin Blvd, Dublin, CA 94568-4589 | 2011-08-10 |
| 1730488677 | Buysmart Rx-hme Inc | Durable Medical Equipment & Medical Supplies | 1632 Veterans Blvd, Dublin, GA 31021-3587 | 2011-03-17 |
| 1992000749 | Bound Tree Medical | Durable Medical Equipment & Medical Supplies | 5000 Tuttle Crossing Blvd, Dublin, OH 43016-1534 | 2011-01-25 |
| Find all providers in DUBLIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.