HUGHSTON CLINIC PC (NPI# 1689120727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689120727 |
| Entity Type | Organization |
| Organization Name | HUGHSTON CLINIC PC |
| Practice Address |
111 Highway 70 E Suite 103 Dickson TN 37055-2080 |
| Mailing Address |
6262 Veterans Pkwy Columbus GA 31909-3540 |
| Practice Telephone | 6154551966 |
| Practice Fax Number | 6154551965 |
| Mailing Telephone | 7064943071 |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2018-10-25 |
| Authorized Official Name | AMANDA GRACE 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 | TN | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104316652 | Hughston Clinic PC | Durable Medical Equipment & Medical Supplies | 100 Medical Dr Ste 400, Dublin, GA 31021-2561 | 2018-05-10 |
| 1245778174 | Hughston Clinic PC | Durable Medical Equipment & Medical Supplies | 8400 Red Bug Lake Rd, Suite 2090, Oviedo, FL 32765-6828 | 2017-02-12 |
| 1457841900 | Hughston Clinic PC | Durable Medical Equipment & Medical Supplies | 100 N Macon St, Macon, GA 31210-6563 | 2018-05-10 |
| 1326584194 | Hughston Clinic PC | Durable Medical Equipment & Medical Supplies | 341 Racetrack Rd Nw, Ste B, Fort Walton Beach, FL 32547-1552 | 2017-01-17 |
| 1023448552 | Hughston Clinic PC | Durable Medical Equipment & Medical Supplies | 631 Professional Drive, Suite 170, Lawreneceville, GA 30046-7694 | 2013-11-19 |
| 1477983013 | Hughston Clinic PC | Durable Medical Equipment & Medical Supplies | 2000 10th Ave, Suite 270, Columbus, GA 31901 | 2013-11-18 |
| 1477986859 | Hughston Clinic PC | Durable Medical Equipment & Medical Supplies | 207 31st Ave Se, Moultrie, GA 31768-6703 | 2013-08-20 |
| 1700219227 | Hughston Clinic PC | Durable Medical Equipment & Medical Supplies | 202 S Madison St, Thomasville, GA 31792-5479 | 2013-08-20 |
| 1699951897 | Hughston Clinic PC | Durable Medical Equipment & Medical Supplies | 117 Oakland Pkwy, Leesburg, GA 31763-7201 | 2008-01-17 |
| Street Address |
111 HIGHWAY 70 E SUITE 103 |
| City | DICKSON |
| State | TN |
| Zip Code | 37055-2080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487658951 | Mack W Griffith | Specialist | 111 Highway 70 E, Dickson, TN 37055-2080 | 2005-06-11 |
| 1598302051 | Chansamone Noi Dee | Nurse Practitioner | 111 Highway 70 E, Dickson, TN 37055-2080 | 2019-12-04 |
| 1326533241 | Farhana Nazmin | Physician Assistant | 111 Highway 70 E, Dickson, TN 37055-2080 | 2018-06-22 |
| 1326578634 | John David Mcclurkan Jr. | Nurse Practitioner | 111 Highway 70 E, Dickson, TN 37055-2080 | 2017-06-19 |
| 1790158574 | Salient Emergency Physicians, Pllc | Physician Assistant | 111 Highway 70 E, Dickson, TN 37055-2080 | 2015-11-03 |
| 1114390002 | Red Spruce Emergency Physicians, LLC | Physician Assistant | 111 Highway 70 E, Dickson, TN 37055-2080 | 2015-11-02 |
| 1437532157 | Keyrillos Rizg | Internal Medicine | 111 Highway 70 E, Dickson, TN 37055-2080 | 2015-06-30 |
| 1316329675 | Jason Andrew Holc | Internal Medicine | 111 Highway 70 E, Dickson, TN 37055 | 2015-06-23 |
| 1912392382 | Holly Cline | Nurse Practitioner | 111 Highway 70 E, Dickson, TN 37055-2080 | 2015-04-02 |
| 1306254222 | Jessica Ketner | Nurse Practitioner | 111 Highway 70 E, Dickson, TN 37055-2080 | 2014-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801406186 | Raven Julia Jackson | Dentist | 445 Tn-46 S, Dickson, TN 37055 | 2020-08-03 |
| 1336767839 | Logan Newman | Student in an Organized Health Care Education/Training Program | 102 Us70 East, Suite 2, Dickson, TN 37055 | 2020-07-10 |
| 1720575012 | Vb Tennessee I Pllc | Dentist | 2027 Thornton Dr, Dickson, TX 37055 | 2018-04-23 |
| 1376075358 | Sharon Elizabeth Sharber | Nurse Practitioner | 111 Highway 70 E Ste E, Dickson, TN 37055 | 2017-03-29 |
| 1992255921 | Karen Alonzo | Occupational Therapy Assistant | 312 N Charlotte St, Dickson, TN 37055 | 2016-10-13 |
| 1356727408 | Aurora Pharmacy Inc | Pharmacy | 318 East College Street, Suite 102, Dickson, TN 37055 | 2015-07-30 |
| 1295121820 | Jeffrey Nicholas Williams | Pharmacy Technician | 120 Brazzell Rd, Dickson, TN 37055 | 2015-04-10 |
| 1760894398 | Joshua A. Vaughn | Physical Therapist | 766 Highway 46 South, Dickson, TN 37055 | 2014-06-02 |
| 1902217292 | Keith Payton | Dentist | 217 Highway 46 Ste D, Dickson, TN 37055 | 2014-05-08 |
| 1073953840 | John Harrison | Dentist | 134 Us-70, Dickson Pediatric Dentistry, Dickson, TN 37055 | 2013-06-26 |
| Find all providers in zip 37055 | ||||
| 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 |
|---|---|---|---|---|
| 1518445386 | Tennessee Orthopaedic Alliance, Pa | Durable Medical Equipment & Medical Supplies | 7103 Ramsey Way, Dickson, TN 37055-1586 | 2018-08-02 |
| 1124554068 | Premier Orthopaedics & Sports Medicine, Plc | Durable Medical Equipment & Medical Supplies | 111 Highway 70 E Ste 103, Dickson, TN 37055-2080 | 2017-05-11 |
| 1275974800 | Advanced Diagnostic Imaging, PC | Durable Medical Equipment & Medical Supplies | 421 Henslee Dr, Dickson, TN 37055-2166 | 2013-07-11 |
| 1326331612 | Dme Tennessee LLC | Durable Medical Equipment & Medical Supplies | 460 Highway 46 S, Dickson, TN 37055-2525 | 2011-05-19 |
| 1497854616 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 702 East College Street, Dickson, TN 37055-2032 | 2006-09-22 |
| 1760497788 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2 Mathis Dr, Dickson, TN 37055-7038 | 2006-07-29 |
| 1528085719 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 175 Beasley Dr, Dickson, TN 37055-2841 | 2006-07-16 |
| 1689190001 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 702 E College St, Dickson, TN 37055 | 2017-08-17 |
| 1851739791 | Anesthesia Services Associates, Pllc | Durable Medical Equipment & Medical Supplies | 10400 Ramsey Way, Dickson, TN 37055-1087 | 2013-06-13 |
| 1043477680 | Dickson Optical PC | Durable Medical Equipment & Medical Supplies | 110 Mathis Dr, Suite 108, Dickson, TN 37055-2000 | 2008-05-21 |
| Find all providers in DICKSON | ||||
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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.