Miguel E. Stubbs, MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

037708 Issued in GA

Legal business name

MIGUEL E. STUBBS, MD PC

Practice address

3154 Abbey Dr SW
Atlanta, GA 30331-5467

Phone

(404) 803-5246

Fax

(770) 991-5012

NPI assigned

Mar 9, 2016

Last updated

Mar 9, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Miguel Elhalcon Stubbs, M.D., P.C.

Title

Ceo

Phone

(404) 803-5246

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miguel E. Stubbs, MD PC Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457481600000",
    "number": "1093176778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3154 ABBEY DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303315467",
            "telephone_number": "404-803-5246",
            "fax_number": "770-991-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3154 ABBEY DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303315467",
            "telephone_number": "404-803-5246",
            "fax_number": "770-991-5012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIGUEL E. STUBBS, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-09",
        "last_updated": "2016-03-09",
        "status": "A",
        "authorized_official_last_name": "STUBBS",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "ELHALCON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-803-5246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., P.C."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "037708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00603006I",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miguel E. Stubbs, MD PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ariel Mierzejewski, RN
• Alexandra Love Migdal, MD
• Benadina Mussa Migenda
• Henry A Mignardot, CAA
• Miguel E Stubbs M D P C
• Joseph Mihalka, MD
• Ronald Allen Mihelic, PHARM.D.
• Frank Richard Mihlon IV, M.D.
• Charles E Mike
• Lori Ann Mikesell, OTR/L

• Internal Medicine Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.