Active NPI
Jabran Akhtar Hussain, MD
- Family Medicine Physician
- Spartanburg, SC
National Provider Identifier
1134431349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1.053735
- Practice address
- 279 N Grove Medical Park Dr
Spartanburg, SC 29303-4222 - Phone
- (864) 582-7025
- Fax
- (864) 583-5715
- NPI assigned
- Jul 6, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 0 | OH | |
| Family Medicine Physician | 207Q00000X | 1.053735 | CT | Primary |
| Family Medicine Physician | 207Q00000X | TL35309 | SC |
Addresses
Primary practice location
279 N Grove Medical Park Dr
Spartanburg, SC 29303-4222
Mailing address
279 N Grove Medical Park Dr
Spartanburg, SC 29303-4222
Phone (864) 582-7025
Other practice location 1
279 N Grove Medical Park Dr
Spartanburg, SC 29303-4222
Phone (864) 582-7025
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1.053735 | CT | MD | Family Medicine Physician |
| TL35309 | SC | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600214400000",
"number": "1134431349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "279 N GROVE MEDICAL PARK DR",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293034222",
"telephone_number": "864-582-7025",
"fax_number": "864-583-5715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "279 N GROVE MEDICAL PARK DR",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293034222",
"telephone_number": "864-582-7025",
"fax_number": "864-583-5715"
}
],
"practiceLocations": [
{
"address_1": "279 N Grove Medical Park Dr",
"address_purpose": "LOCATION",
"city": "Spartanburg",
"state": "SC",
"postal_code": "293034222",
"country_code": "US",
"telephone_number": "864-582-7025",
"fax_number": "864-583-5715",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUSSAIN",
"first_name": "JABRAN",
"middle_name": "AKHTAR",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-06",
"last_updated": "2020-09-16",
"certification_date": "2020-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "OH",
"license": "0",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CT",
"license": "1.053735",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "TL35309",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.