Hughston Clinic Southeast PC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

HUGHSTON CLINIC SOUTHEAST PC

Practice address

2000 10TH Ave Ste 270
Columbus, GA 31901-3706

Phone

(706) 571-1011

Fax

(706) 992-6596

NPI assigned

Jun 29, 2017

Last updated

Aug 18, 2023By 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

Amanda Fromkin

Title

Credentialing Coordinator

Phone

(706) 494-3071

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Hughston Clinic Southeast PC

  • Orthopaedic Surgery Physician
  • Columbus, GA
  • NPI 1225401946

  9234423971

  Same PAC ID
• Hughston Clinic Southeast PC

  • Durable Medical Equipment & Medical Supplies
  • Jacksonville, FL
  • NPI 1134605223

  9234423971

  Same PAC ID
• Hughston Clinic Southeast PC

  • Durable Medical Equipment & Medical Supplies
  • Sanford, FL
  • NPI 1487130571

  9234423971

  Same PAC ID
• Hughston Clinic Southeast PC

  • Durable Medical Equipment & Medical Supplies
  • Fort Walton Beach, FL
  • NPI 1598286684

  9234423971

  Same PAC ID
• Hughston Clinic Southeast PC

  • Durable Medical Equipment & Medical Supplies
  • Panama City, FL
  • NPI 1841776937

  9234423971

  Same PAC ID
• Hughston Clinic Southeast, PC

  • Durable Medical Equipment & Medical Supplies
  • Fleming Island, FL
  • NPI 1346858149

  9234423971

  Same PAC ID

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692316800000",
    "number": "1164943254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6262 VETERANS PKWY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319093540",
            "telephone_number": "706-494-3071",
            "fax_number": "706-494-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 10TH AVE STE 270",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319013706",
            "telephone_number": "706-571-1011",
            "fax_number": "706-992-6596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUGHSTON CLINIC SOUTHEAST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-29",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A",
        "authorized_official_last_name": "FROMKIN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "706-494-3071"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.cioxhealth.com:8291/Gateway/DocumentSubmission/1_1/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "esmd.cioxhealth.com and OID is '2.16.840.1.113883.3.6635.1.1'",
            "affiliationName": "Ciox Health",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "929 North Point Parkway",
            "city": "Alpharetta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jordan Hughes
• Kristin Hughes, MD
• Sharon Thomas Hughes, PERSONAL CARE HOME
• Tammie Marie Hughes, RPA
• Hughston Clinic PC
• Hughston Clinic Southeast PC
• Hughston Clinic, P.C.
• Hughston Clinic, P.C.
• Hughston Hospital Services, LLC
• Hughston Hospital, Inc. (Northside Medical Center)

• Durable Medical Equipment & Medical Supplies in Columbus, GA
• Providers in Columbus, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.