HUGHSTON CLINIC, P.C. (NPI# 1003098336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003098336 |
| Entity Type | Organization |
| Organization Name | HUGHSTON CLINIC, P.C. |
| Other Organization Name | THE HUGHSTON CLINIC, P.C. |
| Practice Address |
4340 Kings Way Valdosta GA 31602-5479 |
| Mailing Address |
6262 Veterans Pkwy Columbus GA 31909-9517 |
| Practice Telephone | 2293339736 |
| Practice Fax Number | 2293330225 |
| Mailing Telephone | 7064943193 |
| Mailing Fax Number | 7064943201 |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2018-10-25 |
| Authorized Official Name | MARK BAKER (CEO) |
| Authorized Official Telephone | 7064943290 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| The Hughston Clinic, P.C. | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588806707 | Hughston Clinic, P.C. | Durable Medical Equipment & Medical Supplies | 512 North Shady Ln., Dothan, AL 36303-1907 | 2009-04-02 |
| 1942442165 | Hughston Clinic, P.C. | Durable Medical Equipment & Medical Supplies | 522 North Center Street, Thomaston, GA 30286-4371 | 2009-04-02 |
| 1356523682 | Hughston Clinic, P.C. | Durable Medical Equipment & Medical Supplies | 107 Calumet Center Road, Lagrange, GA 30240-6705 | 2007-11-28 |
| 1154953123 | Hughston Clinic, P.C. | Durable Medical Equipment & Medical Supplies | 2257 Taylor Rd, Montgomery, AL 36117-7790 | 2020-02-07 |
| 1346423241 | Hughston Clinic, P.C. | Durable Medical Equipment & Medical Supplies | 6262 Veterans Pkwy, Columbus, GA 31909-9517 | 2007-12-13 |
| 1720260052 | Hughston Clinic, P.C. | Durable Medical Equipment & Medical Supplies | 161 E University Dr, Auburn, AL 36832-5889 | 2007-11-28 |
| 1164461190 | Hughston Clinic, P.C. | Orthopaedic Surgery | 6262 Veterans Pkwy, Columbus, GA 31909-9517 | 2006-06-05 |
| Street Address |
4340 KINGS WAY |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31602-5479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750446506 | Brook Goff Bearden | Orthopaedic Surgery | 4340 Kings Way, Valdosta, GA 31602-6921 | 2006-12-22 |
| 1598227225 | Susannah Renee Harvell | Specialist/Technologist | 4340 Kings Way, Valdosta, GA 31602-6921 | 2019-04-02 |
| 1134673304 | Rachel Terae Cronk | Nurse Practitioner | 4340 Kings Way, Valdosta, GA 31602-6921 | 2016-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477198117 | Amber Michele Baugh | Behavior Technician | 2236 Bemiss Road, Valdosta, GA 31602 | 2019-11-15 |
| 1528611365 | Nishaben T. Patel | Nurse Practitioner | 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 | 2019-07-22 |
| 1427615871 | Blair Elizabeth Tomlinson | Nurse Practitioner | 2124 Lakeshore Drive, Valdosta, GA 31602 | 2019-05-21 |
| 1346704152 | Mildred Itaska Borowski | Counselor | 3790 North Highway 41, Suite A, Valdosta, GA 31602 | 2019-01-25 |
| 1962991703 | Southern Healthcare Alliance, LLC | Physical Medicine & Rehabilitation | 101-f W. Northside Drive, Valdosta, GA 31602 | 2018-05-08 |
| 1336636646 | Kaitlyn Thrift | Behavioral Analyst | 2225 Bemiss Road Suite D, Valdosta, GA 31602 | 2018-04-23 |
| 1407379845 | Lindsey Marie Richardson | Dentist | 103 W. Cranford Ave, Valdosta, GA 31602 | 2017-07-18 |
| 1962922427 | Taylor Nicole Fiveash | Nurse Practitioner | 101 W Northisde Dr, Bldg G, Valdosta, GA 31602 | 2017-06-26 |
| 1720520646 | Southern Sleepers Anesthesia LLC | Nurse Anesthetist, Certified Registered | 4120-b N. Valdosta Road, Valdosta, GA 31602 | 2016-11-09 |
| 1134670557 | Cataract and Laser Surgery Center of South Georgia, P.C. | Clinic/Center | 4120-b N. Valdosta Rd., Valdosta, GA 31602 | 2016-10-20 |
| Find all providers in zip 31602 | ||||
| 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 |
|---|---|---|---|---|
| 1760938013 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 4196 Bemiss Rd, Valdosta, GA 31605-7830 | 2016-08-28 |
| 1942652169 | Blissett Health Service | Durable Medical Equipment & Medical Supplies | 3490 Lenox Dr, Valdosta, GA 31605-7433 | 2016-07-12 |
| 1346632460 | Fred's Stores of Tennessee Inc. | Durable Medical Equipment & Medical Supplies | 4401 Bemiss Rd, Valdosta, GA 31605-6049 | 2015-02-26 |
| 1366861247 | Strive Medical LLC | Durable Medical Equipment & Medical Supplies | 509 N Patterson St Ste 206, Valdosta, GA 31601-4630 | 2014-04-08 |
| 1932441490 | Apex Orthopedic Specialists | Durable Medical Equipment & Medical Supplies | 415 Cowart Ave, Suite B, Valdosta, GA 31602-2649 | 2013-03-22 |
| 1861797474 | South Georgia Health Group LLC | Durable Medical Equipment & Medical Supplies | 3215 N Oak Street Ext Ste D, Valdosta, GA 31605-7439 | 2011-01-13 |
| 1427377944 | Family Home Medical Equipment & Supplies, LLC | Durable Medical Equipment & Medical Supplies | 303 University Dr, Valdosta, GA 31602-2631 | 2010-05-24 |
| 1487988812 | 1st America Home Medical Equipment | Durable Medical Equipment & Medical Supplies | 2717 Windemere Dr, Ste A, Valdosta, GA 31602-1686 | 2009-10-02 |
| 1962524645 | Sleepmed Therapies | Durable Medical Equipment & Medical Supplies | 3005 Stock Pen Rd, Valdosta, GA 31601-2200 | 2007-04-04 |
| 1639243785 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 2805 N Ashley St, Valdosta, GA 31602-1806 | 2006-11-20 |
| Find all providers in VALDOSTA | ||||
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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.