CALTON B HUCKABY (NPI# 1629049499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629049499 |
| Entity Type | Individual |
| Full Name | CALTON B HUCKABY |
| Credential | MD |
| Practice Address |
610 Third Street Suite 200 Macon GA 31201-3294 |
| Practice Telephone | 4784642600 |
| Practice Fax Number | 4787380891 |
| Mailing Telephone | 4784642600 |
| Mailing Fax Number | 4787380891 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2013-02-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
018910 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000221009A | 05 | |
| BCBS | 001233 | 01 |
| Street Address |
610 THIRD STREET SUITE 200 |
| City | MACON |
| State | GA |
| Zip Code | 31201-3294 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689659260 | Shahriar Sedghi | Internal Medicine | 610 Third Street, Ste 204, Macon, GA 31201 | 2005-12-07 |
| 1346587573 | Gail Dykhouse Conley | Registered Nurse | 610 Third Street, Suite 200, Macon, GA 31201 | 2013-01-08 |
| 1710219266 | Midstate Anesthesia, LLC | Anesthesiology | 610 Third Street, Macon, GA 31201 | 2010-02-09 |
| 1114982709 | Debra S Kime | Physician Assistant | 610 Third Street, Ste 204, Macon, GA 31201 | 2006-04-18 |
| 1215915939 | Endoscopy Center of Middle Georgia LLC | Clinic/Center | 610 Third Street, Macon, GA 31201 | 2006-01-03 |
| 1053396911 | Hilary D Moore | Physician Assistant | 610 Third Street, Ste 204, Macon, GA 31201 | 2005-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639666340 | Yasameen Emad Muzahim | Internal Medicine | 777 Hemlock Street, Msc 165, Macon, GA 31201 | 2018-04-18 |
| 1952819419 | Putnam Dialysis LLC | Clinic/Center | 657 Hemlock Street, Suite 200, Macon, GA 31201 | 2018-01-18 |
| 1730604331 | Graham Arthur Mercier | Surgery | 169 Ashley Ave., Room 202 Main Hospital Msc 333, Charleston, SC 31201 | 2017-08-04 |
| 1376075705 | Diamond Jude | Internal Medicine | 777 Hemlock Street Msc #104, Macon, GA 31201 | 2017-04-03 |
| 1174055263 | Carol Roobin Bashuk | Hearing Instrument Specialist | 634 First Street, Macon, GA 31201 | 2017-03-29 |
| 1144752411 | Hubert Pare | Student in an Organized Health Care Education/Training Program | 777 Hemlock Street, Msc# 165, Macon, GA 31201 | 2017-03-28 |
| 1548613789 | Michael Daugherty | Counselor | 1873 Hardeman Ave, Suite 1, Macon, GA 31201 | 2016-07-22 |
| 1316317993 | 4front Healthcare of Middle Georgia, LLC | Hospice Care, Community Based | 682 1st St, Macon, GA 31201 | 2015-09-25 |
| 1881073054 | Andrew Lee Drahos | Surgery | 777 Hemlock St # 140, Macon, GA 31201 | 2015-05-21 |
| 1720474158 | April Nicole Colley | Nurse Practitioner | 1014 Forsyth Street, Macon, GA 31201 | 2015-04-13 |
| Find all providers in zip 31201 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1760562268 | Benjamin Mays Johnston, Sr, M.d. | Internal Medicine | 900 First Street, Suite B, Macon, GA 31201-6806 | 2006-10-17 |
| 1881622561 | Douglas P Dozier Sr. | Internal Medicine | 4000 Vineville Ave, Macon, GA 31210-5038 | 2006-06-29 |
| 1891767075 | Vincent A Gibbert | Internal Medicine | 310 Hospital Dr, Suite305, Macon, GA 31217-3895 | 2006-02-02 |
| 1689659260 | Shahriar Sedghi | Internal Medicine | 610 Third Street, Ste 204, Macon, GA 31201 | 2005-12-07 |
| 1881675700 | Raymond Bradley Bedgood | Internal Medicine | 610 3rd St Ste 202, Macon, GA 31201-3262 | 2005-11-08 |
| 1245236082 | William Keith Fackler | Internal Medicine | 240 Sheraton Blvd, Macon, GA 31210-1358 | 2005-06-27 |
| 1629073978 | Brenda Gail Cooper | Internal Medicine | 6501 Peake Rd, Ste 900, Macon, GA 31210-8051 | 2005-06-14 |
| 1114401486 | Davey R. Deal, Jr., M.d., LLC | Internal Medicine | 310 Hospital Dr Ste 305, Macon, GA 31217-8030 | 2018-09-21 |
| 1568616498 | Roxana Maria Coman | Internal Medicine | 777 Hemlock St, Macon, GA 31201-2102 | 2008-11-05 |
| 1528245784 | Jay Michael Anderson | Internal Medicine | 240 Sheraton Blvd, Macon, GA 31210-1358 | 2008-01-29 |
| Find all providers in MACON | ||||
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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.