Jamie Hubbard, RT(R)ARRT

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

License

402464 Issued in GA

Practice address

5906 Hwy 21 S
Unit 4
Rincon, GA 31326-5505

Phone

(912) 295-5611

Fax

(844) 895-6771

NPI assigned

Mar 2, 2017

Last updated

Apr 29, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mobile Medical Imaging of Coastal Georgia, LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Springfield, GA
  • NPI 1053858761
  NPD (past) Authorized official

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493424000000",
    "number": "1215477880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5906 HWY 21 S",
            "address_2": "UNIT 4",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313265505",
            "telephone_number": "912-295-5611",
            "fax_number": "844-895-6771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5906 HWY 21 S",
            "address_2": "UNIT 4",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313265505",
            "telephone_number": "912-295-5611",
            "fax_number": "844-895-6771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "JAMIE",
        "credential": "RT(R)ARRT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-02",
        "last_updated": "2017-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "GA",
            "license": "402464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hospital Authority of Effingham County (Effingham Hospital MedCare)
• Hospital Authority of Effingham County (Effingham Imaging Center)
• Gabrielle Houston, BCBA
• Howard Family Dental - Rincon, LLC
• Ray L Howell, MD,MBA,FACOG,FICS
• Kaitlin Johnson Hunt, PT, DPT
• Kaitlin Hunter
• Carl Victor Hurtig, M.D.
• I Heart Dental LLC
• Inspired Vision Counseling LLC

• Radiologic Technologist in Rincon, GA
• Providers in Rincon, GA by specialty
• Radiologic Technologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2017; 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.