Active NPI
Lawrence Jeffrey Hubacek, M.D.
- Emergency Medicine Physician
- Pearl, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 13184
- Practice address
- 110A Airport Rd S Ste a
Pearl, MS 39208-6698 - Phone
- (601) 936-2887
- Fax
- (855) 866-6287
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obesity Medicine (Family Medicine) Physician | 207QB0002X | 13184 | MS | |
| Obesity Medicine (Preventive Medicine) Physician | 2083B0002X | 13184 | MS | |
| Emergency Medicine Physician | 207P00000X | 13184 | MS | Primary |
Addresses
Primary practice location
110A Airport Rd S Ste a
Pearl, MS 39208-6698
Mailing address
510 Pine Hill PL
Flowood, MS 39232-8994
Phone (769) 798-2921
Other practice location 1
969 Lakeland Dr
Jackson, MS 39216-4606
Phone (601) 200-6175
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09014778 | Medicaid | MS | |
| 00114632 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Mississippi School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1850 Chadwick Dr
Jackson, MS 39204-3404
Phone (601) 376-2832
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 42.86 of 100
- Quality
- 0
- Improvement activities
- 40
- Cost
- 74.29
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13184 | MS | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Relias Emergency Medicine Specialists of St Dominic LLC | Emergency Medicine | Current | Accepting new patients |
| App of Mississippi Ed, LLC | Emergency Medicine | Current | Accepting new patients |
| Jackson HB Medical Services LLC | Emergency Medicine | Current | Accepting new patients |
Locations
150 Reynoir St
Biloxi, MS 39530
Phone (228) 432-7817
350 Crossgates Blvd
Brandon, MS 39042
Phone (601) 824-8500
1850 Chadwick Dr
Jackson, MS 39204
Phone (601) 376-1000
969 Lakeland Dr
Jackson, MS 39216
Phone (601) 200-4644
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Jackson, MS
- NPI 1184305856
-
- Emergency Medicine Physician
- Jackson, MS
- NPI 1730687740
-
- Emergency Medicine Physician
- Jackson, MS
- NPI 1235808122
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brandon, MS
- NPI 1205882669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752105600000",
"number": "1104853936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 PINE HILL PL",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392328994",
"telephone_number": "769-798-2921",
"fax_number": "855-866-6287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110A AIRPORT RD S STE A",
"city": "PEARL",
"state": "MS",
"postal_code": "392086698",
"telephone_number": "601-936-2887",
"fax_number": "855-866-6287"
}
],
"practiceLocations": [
{
"address_1": "969 Lakeland Dr",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "MS",
"postal_code": "392164606",
"country_code": "US",
"telephone_number": "601-200-6175",
"fax_number": "601-200-2020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUBACEK",
"first_name": "LAWRENCE",
"middle_name": "JEFFREY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2025-07-10",
"certification_date": "2025-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207QB0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Obesity Medicine",
"state": "MS",
"license": "13184",
"primary": false
},
{
"code": "2083B0002X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Obesity Medicine",
"state": "MS",
"license": "13184",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MS",
"license": "13184",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09014778",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00114632",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pearl, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.