Charles Hughes Hubbert, M. D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

5460 Issued in TN

Practice address

Memphis VA Hospital, Dept. Neurology
1030 Jefferson Avenue
Memphis, TN 38104

Phone

(901) 577-8990

Fax

(901) 577-7486

NPI assigned

Jan 5, 2007

Last updated

Jul 30, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN, MS2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: charles.hubbert@va.gov

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.

• Compassion Mental Health Inc

  • Multi-Specialty Clinic/Center
  • Bartlett, TN
  • NPI 1124583687
  Medicare reassignment NPD
• Emg Clinics of Tennessee PLLC

  • Physical Medicine & Rehabilitation Physician
  • Jackson, TN
  • NPI 1962597492

  MS

  Medicare reassignment NPD
• Compassion Behavioral Health LLC

  • Multi-Specialty Clinic/Center
  • Bartlett, TN
  • NPI 1568324507
  NPD
• Memphis Psychiatric and Addiction Clinic, PC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Memphis, TN
  • NPI 1235187949
  NPD (past)
• Pathways of Tennessee, Inc.

  • Clinic/Center
  • Jackson, TN
  • NPI 1497721609
  NPD (past)
• Psycare LLC

  • Psychologist
  • Memphis, TN
  • NPI 1851870778
  NPD (past)
• State of Tennessee State F & a Payroll

  dba Memphis Mental Health Institute

  • Psychiatric Hospital
  • Memphis, TN
  • NPI 1457435893
  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1306994611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEMPHIS VA HOSPITAL, DEPT. NEUROLOGY",
            "address_2": "1030 JEFFERSON AVENUE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38104",
            "telephone_number": "901-577-8990",
            "fax_number": "901-577-7486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEMPHIS VA HOSPITAL, DEPT. NEUROLOGY",
            "address_2": "1030 JEFFERSON AVENUE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38104",
            "telephone_number": "901-577-8990",
            "fax_number": "901-577-7486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBERT",
        "first_name": "CHARLES",
        "middle_name": "HUGHES",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "MD5460",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "5460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "31020301",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN",
            "identifier": "4159798",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3102034",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Charles.Hubbert@va.gov",
            "affiliation": "N",
            "endpointDescription": "Memphis VA Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Memphis VA Hospital, Dept. Neurology",
            "address_2": "1030 Jefferson Avenue",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "38104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cady Danielle Hubbard, DNP, APRN, CPNP-PC
• Callie B Hubbard, LCSW
• Kelsey Hubbard, DPT
• Lauren Elizabeth Hubbard
• Alice Vivian Hubbert, MSW
• Amy A Huber, MD
• David Andrew Huber, MD
• John D Huber III, MD
• Kim M Huch, MD
• Savannah Huckabay

• Neurology Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Neurology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.