MR. TIMOTHY TERRELL HUBBARD (NPI# 1780675041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780675041 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY TERRELL HUBBARD |
| Credential | C.S.A., C.S.T. |
| Practice Address |
321 Kirkland Dr Lawrenceville GA 30044-2023 |
| Practice Telephone | 4049935096 |
| Practice Fax Number | 6784421158 |
| Mailing Telephone | 4049935096 |
| Mailing Fax Number | 6784421158 |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
2663 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699312843 | Timothy Lewis Hubbard | Registered Nurse | 851 Deer Run Lake Rd, Holly, MI 48442-1570 | 2019-12-06 |
| 1235625500 | Timothy M Hubbard | Marriage & Family Therapist | 2501 N Green Valley Pkwy Ste 116118, Henderson, NV 89014-0273 | 2018-07-10 |
| 1568523389 | Timothy Michael Hubbard | Family Medicine | 4400 Sheridan Rd, Kenosha, WI 53140-5747 | 2006-12-13 |
| 1669889390 | Timothy Hubbard | Physician Assistant | 275 S School Ave, Hartville, MO 65667-8406 | 2014-07-15 |
| 1609901040 | Timothy George Hubbard | Case Manager/Care Coordinator | 2325 S Harvard, Tulsa, OK 74114-3300 | 2007-02-23 |
| 1942281647 | Timothy Dale Hubbard | Chiropractor | 20055 Sw Pacific Hwy, Sherwood, OR 97140-9294 | 2005-11-09 |
| Street Address |
321 KIRKLAND DR |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30044-2023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740811892 | Berry and Mitchell Hands of Caring | Nurse's Aide | 1180 Market Square Lane, Lawrenceville, GA 30044 | 2020-01-28 |
| 1457995045 | Reagan Urgent Care | Clinic/Center | 2878 Five Forks Trickum Rd Ste 2a, Lawrenceville, GA 30044 | 2019-11-06 |
| 1194373621 | Kaseem Beck | Dentist | Gwinnett Family Dental Care, 3455 Lawrenceville Hwy, Lawrenceville, GA 30044 | 2019-08-28 |
| 1053965525 | Imani Anderson | Speech-Language Pathologist | 2775 Cruse Rd Suite 2002, Lawrenceville, GA 30044 | 2019-08-01 |
| 1598329625 | Zam Zam Family Clinic LLC | Clinic/Center | 965 Oakland Road, Bldg 3 Ste D & E, Lawrenceville, GA 30044 | 2019-04-24 |
| 1659858991 | Apex Eyecare | Optometrist | 3694 Club Drive Unit 101, Lawrenceville, GA 30044 | 2018-07-19 |
| 1538657549 | Georgia Comprehensive Family Clinic & Natural Health | Naturopath | 1065 Pleasant Hill Rd, Lawrenceville, GA 30044 | 2018-04-25 |
| 1316434095 | Children's Dentistry of Lithonia, LLC | Dentist | 4850 Sugarloaf Parkway, Ste 611, Lawrenceville, GA 30044 | 2018-04-18 |
| 1831619337 | Legacy Healthcare Services, Inc. | Occupational Therapist | 2899 Five Forks Trickum Rd Apt 204, Lawrenceville, GA 30044 | 2017-06-26 |
| 1326582859 | Ana Coronado | Social Worker | 965 Oakland Road Nw, Suite 3b, Lawrenceville, GA 30044 | 2016-12-19 |
| Find all providers in zip 30044 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518312891 | Lauren Mckenzie Johnson | Physician Assistant | 771 Old Norcross Rd Ste 340, Lawrenceville, GA 30046-4983 | 2016-04-25 |
| 1124144001 | Joel Allen Gorenstein | Physician Assistant | 3100 Princeton Pike Ste 1d, Institute for Spine & Scoliosis, Lawrenceville, NJ 08648-2300 | 2007-03-22 |
| 1598283475 | Rahul Kapoor | Physician Assistant | 631 Professional Dr Ste 170, Lawrenceville, GA 30046-3392 | 2017-08-31 |
| 1891241758 | Georgia Physicians of Atlanta | Physician Assistant | 35 Patterson Rd, Suite 466384, Lawrenceville, GA 30044-4717 | 2016-08-31 |
| 1699056945 | Claudette Bryant | Physician Assistant | 766 Walther Rd Ste 100, Lawrenceville, GA 30046-8765 | 2011-08-31 |
| 1720212566 | Ashley Parker Croker | Physician Assistant | 631 Professional Dr, Suite 200, Lawrenceville, GA 30046-3367 | 2009-05-07 |
| 1295974566 | Scott Michael Linacre | Physician Assistant | 631 Professional Dr, Suite 360, Lawrenceville, GA 30046-3367 | 2009-02-11 |
| 1124157441 | Richard Thomas Heimbecker | Physician Assistant | 631 Professional Dr, Suite 200, Lawrenceville, GA 30046-3367 | 2007-03-04 |
| 1639226178 | John A. Chandler | Physician Assistant | 631 Professional Drive, Suite 200, Lawrenceville, GA 30046-3367 | 2007-01-05 |
| 1205932175 | Kenneth L Norris | Physician Assistant | 631 Professional Dr, Suite 200, Lawrenceville, GA 30046-3367 | 2006-09-16 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30044 |
Please comment or provide details below to improve the information on MR. TIMOTHY TERRELL HUBBARD.
| 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.