Miguel E. Stubbs, M.D.P.C.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

037708 Issued in GA

Legal business name

MIGUEL E. STUBBS, M.D.P.C.

Practice address

3001 S Cobb Dr SE
Suite 103
Smyrna, GA 30080-7809

Phone

(678) 556-9460

Fax

(678) 556-9462

NPI assigned

Mar 3, 2008

Organization subpart

No

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

Authorized official

Name

Miguel Stubbs, M.D.P.C.NPI 1477591675

Title

Owner

Phone

(678) 556-9460

Specialties & licenses 1

Addresses

Tax ID family

Miguel E Stubbs M D P C3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Miguel E Stubbs M D P C

  • Geriatric Medicine (Internal Medicine) Physician
  • Atlanta, GA
  • NPI 1518334200
  NPD tax ID
• Miguel E. Stubbs, MD PC

  • Internal Medicine Physician
  • Austell, GA
  • NPI 1558887018
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Miguel E Stubbs, M.D.,P.C.

  • Internal Medicine Physician
  • Smyrna, GA
  • NPI 1477591675
  NPD (past) Authorized official

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1235309568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 BEAVER FALLS PL SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303318326",
            "telephone_number": "678-556-9460",
            "fax_number": "678-556-9462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 S COBB DR SE",
            "address_2": "SUITE 103",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300807809",
            "telephone_number": "678-556-9460",
            "fax_number": "678-556-9462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIGUEL E. STUBBS, M.D.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "STUBBS",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-556-9460",
        "authorized_official_credential": "M.D.P.C."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "037708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.