Organization Active NPI

Huggins Medical Group, PC

  • Primary Care Clinic/Center
  • Douglasville, GA
National Provider Identifier
1013391317
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
034368 Issued in GA
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

Updated by the provider on Nov 17, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000512784MedicaidGA
000512784DMedicaidGA

Other names 1

  • Michelle A. Huggins, MD Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.