NPIMap

Individual provider Active NPI

Jeremy Slade Hubbard, M.D.

  • Urology Physician
  • Charlotte, NC
National Provider Identifier
1235351867
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
200701727 Issued in NC
Practice address
101 W.T. Harris Blvd. East Suite 5201
Charlotte, NC 28262-7140
Phone
(704) 547-1495
Fax
(704) 547-1861
NPI assigned
May 3, 2007
Last updated
Jun 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 200701727 NC Primary

Addresses

Primary practice location

101 W.T. Harris Blvd. East Suite 5201
Charlotte, NC 28262-7140

Mailing address

101 W.T. Harris BLCD. East Suite 5201
Charlotte, NC 28262
Phone (704) 547-1495

Other names 1

  • Jeremy Slade Hubbard Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080814000522 NC Practitioner - Urology 9739254442 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Johns Hopkins University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Specialists of the Carolinas PLLCGroup PAC ID 0648178020, 78 clinicians
Stone Institute of the Carolinas LLCGroup PAC ID 3173412533, 29 clinicians

Practice addresses (Care Compare)

101 E W T Harris Blvd
Suite 5201
Charlotte, NC 28262-3422
Phone (704) 547-1495

215 S Main St
Suite 201
Davidson, NC 28036-8039
Phone (704) 896-2120

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Specialists of the Carolinas CurrentSince May 26, 2024 Accepting new patients
Urology Specialists of the Carolinas CurrentSince May 26, 2024 Accepting new patients
Stone Institute of the Carolinas LLC Urology CurrentSince Mar 9, 2020 Accepting new patients
Urology Specialists of the Carolinas PLLC Urology CurrentSince Jul 1, 2019 Accepting new patients

Locations

101 E Wt Harris Blvd
Ste 5201
Charlotte, NC 28262
Phone (704) 547-1495

15830 Ballantyne Medical Pl
Ste 175
Charlotte, NC 28277
Phone (704) 323-7633

16455 Statesville Rd
Ste 420
Huntersville, NC 28078
Phone (704) 355-7874

Interoperability endpoints

  • Direct secure messaging: jhubbard@urologyspecialistsnc.emadirect.md
  • Direct secure messaging: jhubbard5436@direct.novanthealth.org
  • Direct secure messaging: shubbard@lcuc.gwaydirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1235351867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W.T. HARRIS BLCD. EAST SUITE 5201",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28262",
            "telephone_number": "704-547-1495",
            "fax_number": "704-547-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W.T. HARRIS BLVD. EAST SUITE 5201",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282627140",
            "telephone_number": "704-547-1495",
            "fax_number": "704-547-1861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "JEREMY",
        "middle_name": "SLADE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "200701727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEREMY",
            "last_name": "HUBBARD",
            "middle_name": "SLADE",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.