Jeremy Slade Hubbard (NPI# 1235351867, PAC ID# 9739254442) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1235351867 |
| PAC ID by PECOS | 9739254442 |
| Professional Enrollment ID | I20080814000522 |
| Full Name | Jeremy Slade Hubbard |
| Organization Legal Name | UROLOGY SPECIALISTS OF THE CAROLINAS PLLC |
| Address |
16455 Statesville Rd Suite 420 Huntersville NC 28078-7140 |
| Phone Number | 7048922949 |
| Gender | M |
| Medical School | JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 0648178020 |
| Number of Group Practice Members | 35 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340113 | CAROLINAS MEDICAL CENTER/BEHAV HEALTH |
| 340183 | NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER |
| 340001 | CAROLINAS MEDICAL CENTER-NORTHEAST |
| 340166 | CAROLINAS MED CTR-UNIVERSITY |
| 420079 | TRIDENT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 641 Saint Andrews Blvd, Charleston, SC 29407-7165 | 8437664070 | LOWCOUNTRY UROLOGY CLINICS PA |
| 16455 Statesville Rd, Suite 420, Huntersville, NC 28078-7140 | 7048922949 | UROLOGY SPECIALISTS OF THE CAROLINAS PLLC |
| 2687 Lake Park Dr, North Charleston, SC 29406-9100 | 8435721010 | LOWCOUNTRY UROLOGY CLINICS PA |
| Organization Legal Name | UROLOGY SPECIALISTS OF THE CAROLINAS PLLC |
| Physicians | 36 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dakota Irwin | Physician Assistant | Urology Specialists of The Carolinas Pllc | 1085 Nw Gateway Ct Ne, Suite 180, Concord, NC 28025-2407 |
| Celeste J Watts | Nurse Practitioner | Urology Specialists of The Carolinas Pllc | 101 E W T Harris Blvd, Suite 5201, Charlotte, NC 28262-3422 |
| Katie W Tucker | Nurse Practitioner | Urology Specialists of The Carolinas Pllc | 1085 Nw Gateway Ct Ne, Suite 180, Concord, NC 28025-2407 |
| Larry Jason Byrd | Nurse Practitioner | Urology Specialists of The Carolinas Pllc | 1085 Nw Gateway Ct Ne, Suite 180, Concord, NC 28025-2407 |
| Melissa L Lemnah | Physician Assistant | Urology Specialists of The Carolinas Pllc | 1085 Nw Gateway Ct Ne, Suite 180, Concord, NC 28025-2407 |
| Laurel Drayton | Physician Assistant | Urology Specialists of The Carolinas Pllc | 1085 Nw Gateway Ct Ne, Suite 180, Concord, NC 28025-2407 |
| David E Kang | Urology | Urology Specialists of The Carolinas Pllc | 1085 Nw Gateway Ct Ne, Suite 180, Concord, NC 28025-2407 |
| Tom S Floyd | Urology | Urology Specialists of The Carolinas Pllc | 1085 Nw Gateway Ct Ne, Suite 180, Concord, NC 28025-2407 |
| Nicholas J Fitzsimons | Urology | Urology Specialists of The Carolinas Pllc | 10650 Park Rd, Suite 320, Charlotte, NC 28210-8543 |
| Jessica R Brooks | Nurse Practitioner | Urology Specialists of The Carolinas Pllc | 1085 Nw Gateway Ct Ne, Suite 180, Concord, NC 28025-2407 |
| Street Address |
16455 STATESVILLE RD SUITE 420 |
| City | HUNTERSVILLE |
| State | NC |
| Zip | 28078-7140 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard A Rosania | Anesthesiology | Southeast Anesthesiology Consultants Pllc | 16455 Statesville Rd, Huntersville, NC 28078-7135 |
| Jennifer L Thomas | Nurse Practitioner | Carolinas Physicians Network Inc | 16455 Statesville Rd, Suite 360, Huntersville, NC 28078-7139 |
| Paul T Campbell | Interventional Cardiology | Carolinas Physicians Network Inc | 16455 Statesville Rd, Suite 360, Huntersville, NC 28078-7139 |
| Garry Ewell Rains | Anesthesiology | Southeast Anesthesiology Consultants Pllc | 16455 Statesville Rd, Huntersville, NC 28078-7135 |
| Carly Rivet | Internal Medicine | Carolinas Physicians Network Inc | 16455 Statesville Rd, Suite 360, Huntersville, NC 28078-7139 |
| Katherine R Brooks | Nurse Practitioner | Carolinas Physicians Network Inc | 16455 Statesville Rd, Suite 360, Huntersville, NC 28078-7139 |
| Nancy Iirene Durning | Nurse Practitioner | Carolinas Physicians Network Inc | 16455 Statesville Rd, Suite 360, Huntersville, NC 28078-7139 |
| Jennifer W Burke | Internal Medicine | Carolinas Physicians Network Inc | 16455 Statesville Rd, Suite 360, Huntersville, NC 28078-7139 |
| William S Panza | Anesthesiology | Southeast Anesthesiology Consultants Pllc | 16455 Statesville Rd, Huntersville, NC 28078-7135 |
| Catherine L. Ellison | Physician Assistant | Carolinas Physicians Network Inc | 16455 Statesville Rd, Suite 360, Huntersville, NC 28078-7139 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacy C Le | Internal Medicine | Progressive Medical Associates Pllc | 13220 Rosedale Hill Ave, Huntersville, NC 28078-0361 |
| Stacy K Mullet | Nurse Practitioner | Progressive Medical Associates Pllc | 13220 Rosedale Hill Ave, Huntersville, NC 28078-0361 |
| Mary C Head | Nurse Practitioner | Progressive Medical Associates Pllc | 13220 Rosedale Hill Ave, Huntersville, NC 28078-0361 |
| Yvonne Verla Tah | Nurse Practitioner | Pacs, PC | 8712 Lindholm Dr, Suite 302, Huntersville, NC 28078-1872 |
| Kimberly Mae Clements | Nurse Practitioner | Pacs, PC | 8712 Lindholm Dr, Suite 302, Huntersville, NC 28078-1872 |
| Nancy E Frye | Nurse Practitioner | Pacs, PC | 8712 Lindholm Dr, Suite 302, Huntersville, NC 28078-1872 |
| Amber Childers Giordano | Nurse Practitioner | Pacs, PC | 8712 Lindholm Dr, Suite 302, Huntersville, NC 28078-1872 |
| Leanna J Worsham | Nurse Practitioner | Pacs, PC | 8712 Lindholm Dr, Suite 302, Huntersville, NC 28078-1872 |
| Christine E Lemley | Optometry | 6634 April Mist Trl, Huntersville, NC 28078-2322 | |
| Amy N Scala | Physical Therapy | Holston Medical Group PC | 10210 Hickorywood Hill Ave, Suite 120, Huntersville, NC 28078-3345 |
| Find all physicians in zip 28078 | |||
| City | HUNTERSVILLE |
| Zip Code | 28078 |
| Specialty | UROLOGY |
| City + Specialty | HUNTERSVILLE + UROLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.