Jon C Huebschman, MD

Key facts

NPI

1174597355

Entity type

Individual (NPI type 1)

Primary specialty

Internal Medicine Physician 207R00000X

License

18398 (TN)

Practice address

1060 Peerless Crossing Dr
Suite 200
Cleveland, TN 37312-3784

Phone

(423) 479-4165

Fax

(423) 478-1884

NPI assigned

Feb 15, 2006

Sex

Male

Sole proprietor

No

Organizations & group practices 4

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.

• Your Good Health, LLC Primary Care Clinic/Center · East Ridge, TN · NPI 1386864296
  Medicare reassignment Care Compare group TN
• Southeastern Emergency Physicians LLC Emergency Medicine Physician · Maysville, KY · NPI 1356379382
  Medicare reassignment NPD TN
• Galen Medical Group, PC Internal Medicine Physician · Hixson, TN · NPI 1346250057
  NPD (past) INTERNAL MEDICINE
• Physician Services of Cleveland, PC Emergency Medicine Physician · Cleveland, TN · NPI 1457378341
  NPD (past)

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Athens Regional Medical Center LLC General Acute Care Hospital · Athens, TN · NPI 1669567319
  Care Compare affiliation Hospital
• Comprehensive Home Healthcare Services LLC Home Health Agency · Chattanooga, TN · NPI 1326096009
  Care Compare affiliation Home health agency
• Guardian Home Care, LLC Home Health Agency · Chattanooga, TN · NPI 1124059407
  Care Compare affiliation Home health agency
• Hearth Hospice of Tennessee, LLC Community Based Hospice Care Agency · Chattanooga, TN · NPI 1447596390
  Care Compare affiliation Hospice
• Home Health Care of East Tennessee, Inc. Home Health Agency · Cleveland, TN · NPI 1285617605
  Care Compare affiliation Home health agency
• LHCG Lxii, LLC Home Health Agency · Cleveland, TN · NPI 1487068128
  Care Compare affiliation Home health agency

Medicare Care Compare profile

Specialty

Internal Medicine
Also: Emergency Medicine

Education

University of South Florida College of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Your Good Health, LLC (13 clinicians)
Legacy Healthcare Services Inc (3,431 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Accentcare Home Health of Tennessee Home health agency · Chattanooga, TN · CCN 447559
• Adoration Home Health and Hospice Care East TN Home health agency · Cleveland, TN · CCN 447279
• Amedisys Home Health Chattanooga Home health agency · Chattanooga, TN · CCN 447156
• Tennessee Home Health Home health agency · Cleveland, TN · CCN 447552
• Hearth Hospice Hospice · Chattanooga, TN · CCN 441600
• Starr Regional Medical Center Athens Hospital · Athens, TN · CCN 440068

Medicare participation

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jon.huebschman@ingoodhealth.directbygreenway.com

Specialties & licenses

Addresses

Other identifiers

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 4, 2020.

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1174597355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 PEERLESS CROSSING DR",
            "address_2": "SUITE 200",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123784",
            "telephone_number": "423-479-4165",
            "fax_number": "423-478-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 PEERLESS CROSSING DR",
            "address_2": "SUITE 200",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123784",
            "telephone_number": "423-479-4165",
            "fax_number": "423-478-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUEBSCHMAN",
        "first_name": "JON",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "18398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "661507390B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TN",
            "identifier": "4135890",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3029742",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "661507390C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4179052",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4179052",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jon.huebschman.1@1525.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "1060 Peerless Crossing Dr",
            "address_2": "Suite 200",
            "city": "Cleveland",
            "state": "TN",
            "country_code": "US",
            "postal_code": "373123784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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