HUGHSTON CLINIC SOUTHEAST PC (NPI# 1508387697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508387697 |
Entity Type | Organization |
Organization Name | HUGHSTON CLINIC SOUTHEAST PC |
Practice Address |
631 Professional Dr Ste 170 Lawrenceville GA 30046-3392 |
Mailing Address |
6262 Veterans Pkwy Columbus GA 31909-3540 |
Practice Telephone | 6783122663 |
Practice Fax Number | 7709628587 |
Mailing Telephone | 7064943071 |
Mailing Fax Number | 7064943008 |
Enumeration Date | 2017-06-29 |
Last Update Date | 2018-10-25 |
Authorized Official Name | AMANDA 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 | GA | Suppliers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841776937 | Hughston Clinic Southeast PC | Durable Medical Equipment & Medical Supplies | 2202 State Ave Ste 303, Panama City, FL 32405-4590 | 2018-07-12 |
1134605223 | Hughston Clinic Southeast PC | Durable Medical Equipment & Medical Supplies | 3627 University Blvd S Ste 435, Jacksonville, FL 32216-4238 | 2018-07-12 |
1770004863 | Hughston Clinic Southeast PC | Durable Medical Equipment & Medical Supplies | 3443 Dickerson Pike Ste 360, Nashville, TN 37207-2535 | 2017-06-29 |
1568948636 | Hughston Clinic Southeast PC | Durable Medical Equipment & Medical Supplies | 3736 S 4th St, Terre Haute, IN 47802-5507 | 2018-07-12 |
1487130571 | Hughston Clinic Southeast PC | Durable Medical Equipment & Medical Supplies | 309 N Mangoustine Ave Unit G, Sanford, FL 32771-1098 | 2018-07-12 |
1598286684 | Hughston Clinic Southeast PC | Durable Medical Equipment & Medical Supplies | 341 Racetrack Rd Nw Ste C, Fort Walton Beach, FL 32547-1552 | 2017-06-29 |
1164943254 | Hughston Clinic Southeast PC | Durable Medical Equipment & Medical Supplies | 2000 10th Ave Ste 270, Columbus, GA 31901-3706 | 2017-06-29 |
1225401946 | Hughston Clinic Southeast PC | Orthopaedic Surgery | 6262 Veterans Pkwy, Columbus, GA 31909-3540 | 2015-11-03 |
Street Address |
631 PROFESSIONAL DR STE 170 |
City | LAWRENCEVILLE |
State | GA |
Zip Code | 30046-3392 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750320685 | Jerry U. Mercedat | Physician Assistant | 631 Professional Dr Ste 170, Lawrenceville, GA 30046-3392 | 2006-06-06 |
1598283475 | Rahul Kapoor | Physician Assistant | 631 Professional Dr Ste 170, Lawrenceville, GA 30046-3392 | 2017-08-31 |
1326311242 | Katelyn Steele | Specialist/Technologist | 631 Professional Dr Ste 170, Lawrenceville, GA 30046-3392 | 2012-02-23 |
1841495710 | William Min | Orthopaedic Surgery | 631 Professional Dr Ste 170, Lawrenceville, GA 30046-3392 | 2007-06-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063023174 | Alpha & Omega Hearing Centers | Hearing Instrument Specialist | Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 | 2020-08-12 |
1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
Find all providers in zip 30046 |
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 |
---|---|---|---|---|
1306461009 | Five Stars Care & Supply Inc | Durable Medical Equipment & Medical Supplies | 1302 Burnt Wood Ct, Lawrenceville, GA 30044-2553 | 2020-06-09 |
1194349605 | Gail L Jenkins | Durable Medical Equipment & Medical Supplies | 544 Fieldstream Way, Lawrenceville, GA 30044-6955 | 2020-05-31 |
1154894905 | Kelvin Earl Davis Jr. | Durable Medical Equipment & Medical Supplies | 1699 Riverlanding Cir, Lawrenceville, GA 30046-2835 | 2019-01-04 |
1306207162 | Abiben & Company | Durable Medical Equipment & Medical Supplies | 849 Lynnfield Dr, Lawrenceville, GA 30045-5222 | 2016-03-08 |
1639547532 | Totalcare Medical Supply Inc. | Durable Medical Equipment & Medical Supplies | 134 Hurricane Shoals Rd Ste C, Lawrenceville, GA 30046-4445 | 2015-09-09 |
1427426691 | Ultralite Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 390 Farmer Ct, Lawrenceville, GA 30046-6132 | 2015-09-04 |
1336573674 | Somnus Dme | Durable Medical Equipment & Medical Supplies | 560 Lawrence Square Blvd S, Lawrenceville, NJ 08648-2674 | 2013-08-22 |
1760728513 | Lifecare Medical Supplies | Durable Medical Equipment & Medical Supplies | 1325 Capital Cir, Lawrenceville, GA 30043-8903 | 2012-12-26 |
1275883175 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 175 Gwinnett Dr Ste 111, Lawrenceville, GA 30046-8401 | 2012-09-18 |
1598039497 | Access Wheelchair Repair, LLC | Durable Medical Equipment & Medical Supplies | 283 Swanson Dr, Ste 103, Lawrenceville, GA 30043-8547 | 2012-02-24 |
Find all providers in LAWRENCEVILLE |
City | LAWRENCEVILLE |
Zip Code | 30046 |
Please comment or provide details below to improve the information on HUGHSTON CLINIC SOUTHEAST PC.
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.