Active NPI
Huggins Medical Group, PC
- Primary Care Clinic/Center
- Douglasville, GA
National Provider Identifier
1013391317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 034368
- Legal business name
- HUGGINS MEDICAL GROUP, PC
- Practice address
- 6934 Broad St
Douglasville, GA 30134-1604 - Phone
- (770) 702-7728
- Fax
- (770) 726-7265
- NPI assigned
- Jul 16, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michelle Allison Huggins, MD
- Title
- President/Owner
- Phone
- (770) 702-7728
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 034368 | GA | Primary |
Addresses
Primary practice location
6934 Broad St
Douglasville, GA 30134-1604
Mailing address
6934 Broad St
Douglasville, GA 30134-1604
Phone (770) 702-7728
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000512784 | Medicaid | GA | |
| 000512784D | Medicaid | GA |
Other names 1
- Michelle A. Huggins, MD
National Provider Directory
National Provider DirectoryLocations
12551 Veterans Memorial Hwy
Douglasville, GA 30134
Phone (770) 702-7728
4480H S Cobb Dr SE
Smyrna, GA 30080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1479340800000",
"number": "1013391317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6934 BROAD ST",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301341604",
"telephone_number": "770-702-7728",
"fax_number": "770-726-7265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6934 BROAD ST",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301341604",
"telephone_number": "770-702-7728",
"fax_number": "770-726-7265"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUGGINS MEDICAL GROUP, PC",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-16",
"last_updated": "2016-11-17",
"status": "A",
"authorized_official_last_name": "HUGGINS",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "ALLISON",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "770-702-7728",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "GA",
"license": "034368",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000512784",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000512784D",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Michelle A. Huggins, MD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Douglasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.