MIGUEL E. STUBBS, MD PC (NPI# 1558887018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558887018 |
| Entity Type | Organization |
| Organization Name | MIGUEL E. STUBBS, MD PC |
| Practice Address |
4760 Austell Rd Ste 1 Austell GA 30106-2007 |
| Mailing Address |
6724 Church St Ste 3 Riverdale GA 30274-4711 |
| Practice Telephone | 4048035146 |
| Practice Fax Number | 7709915012 |
| Mailing Telephone | 7709916186 |
| Mailing Fax Number | 7709915012 |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | DR. MIGUEL E STUBBS (CEO) |
| Authorized Official Telephone | 4048035246 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | INTERNAL MEDICINE | N688290 | 01 |
| GA | 0060300I | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093176778 | Miguel E. Stubbs, Md PC | Internal Medicine | 3154 Abbey Dr Sw, Atlanta, GA 30331-5467 | 2016-03-09 |
| Street Address |
4760 AUSTELL RD STE 1 |
| City | AUSTELL |
| State | GA |
| Zip Code | 30106-2007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275015372 | Sharon Maraman | Nurse Practitioner | 4760 Austell Rd Ste 1, Austell, GA 30106-2007 | 2018-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126231 | Courtney Lashune Dorsett | Nurse Practitioner | 1005 Cureton Drive, Austell, Austell, GA 30106 | 2020-08-27 |
| 1184240491 | Brian H Eves | Dietitian, Registered | 3972 Brantley Drive, Austell, GA 30106 | 2020-06-23 |
| 1669014486 | Jesse Mccoy | Registered Nurse | 3950 Austell Rd., Austell, GA 30106 | 2019-10-14 |
| 1427522820 | Envision Optics LLC | Optometrist | 1680 E West Connector, Austell, GA 30106 | 2019-01-18 |
| 1972042380 | Thomas Dental Group | Clinic/Center | 1133 East West Connector, Suite 120, Austell, GA 30106 | 2017-02-17 |
| 1245779792 | Colton Dental Group | Clinic/Center | 2495 East-west Connector, Ste 60, Austell, GA 30106 | 2017-02-16 |
| 1144691684 | Georgia Dental Professionals, PC | Dentist | 780 East West Connector Sw, Suite 108, Austell, GA 30106 | 2015-10-09 |
| 1285013714 | Ikeade Bello Alamu | Nurse Practitioner | 2870 Betula Drive, Austell, GA 30106 | 2015-05-29 |
| 1376922211 | Jessica Williams | Obstetrics & Gynecology | 1700 Hospital South Dr Ste 500, Austell, GA 30106 | 2015-05-26 |
| 1558799593 | Tonya Renee Baldwin | Speech-Language Pathologist | 4229 Brass Trl., Austell, GA 30106 | 2013-10-30 |
| Find all providers in zip 30106 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154487460 | Raymond H Wexler | Internal Medicine | 3875 Austell Road, Suite 303, Austell, GA 30106-1151 | 2006-12-29 |
| 1265413819 | Jose M Figueroa | Internal Medicine | 4444 Austell Road, Suite 100, Austell, GA 30106 | 2005-11-10 |
| 1366423519 | Rajnish Gujral | Internal Medicine | 3950 Austell Rd # 22, Austell, GA 30106-1121 | 2005-11-07 |
| 1326037821 | Ellis L Malone | Internal Medicine | 1680 Hospital South Dr, Austell, GA 30106-8110 | 2005-10-18 |
| 1619966116 | Juan Carlos Franco | Internal Medicine | 1680 Hospital South Drive, Austell, GA 30106 | 2005-10-18 |
| 1285626614 | Timothy R. Flynn | Internal Medicine | 1790 Mulkey Rd Ste 5a, Austell, GA 30106-1122 | 2005-08-22 |
| 1417951369 | Olatunde Idowu | Internal Medicine | 3950 Austell Rd, Box 22, Austell, GA 30106-1121 | 2005-06-09 |
| 1821466509 | Wellstar Medical Group, LLC | Internal Medicine | 1605 Mulkey Rd, Suite 220, Austell, GA 30106-1127 | 2015-09-11 |
| 1346624160 | Wellstar Medical Group, LLC | Internal Medicine | 1605 Mulkey Rd, Suite 220, Austell, GA 30106-1127 | 2015-07-10 |
| 1255744595 | Wellstar Medical Group, LLC | Internal Medicine | 3825 Medical Park Dr, Suite 100, Austell, GA 30106-6831 | 2014-06-04 |
| Find all providers in AUSTELL | ||||
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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.