HUGHSTON CLINIC SOUTHEAST PC


Address: 631 Professional Dr Ste 170, Lawrenceville, GA 30046-3392
Phone: 6783122663

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332B00000X Durable Medical Equipment & Medical Supplies GA Suppliers

Other Provider IDs and Locations

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

Office Location

Street Address 631 PROFESSIONAL DR STE 170
City LAWRENCEVILLE
State GA
Zip Code 30046-3392

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 332B00000X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City LAWRENCEVILLE
Zip Code 30046

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Dataset Information

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.

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