NPIMap

Individual provider Active NPI

Michelle Allison Huggins, M.D.

  • Internal Medicine Physician
  • Douglasville, GA
National Provider Identifier
1316957939
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
034368 Issued in GA
Practice address
6934 Broad St
Douglasville, GA 30134-1604
Phone
(770) 702-7728
Fax
(770) 726-7265
NPI assigned
Aug 8, 2006
Last updated
Oct 28, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 034368 GA Primary

Addresses

Primary practice location

6934 Broad St
Douglasville, GA 30134-1604

Mailing address

6934 Broad St
Douglasville, GA 30134-1839
Phone (678) 682-1131

Other identifiers 1

IdentifierTypeStateIssuer
000512784DMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20050714000621 GA Practitioner - Internal Medicine 0244266807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Virginia Commonwealth University, School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hartley Health and Wellness Associates, LLCGroup PAC ID 6305162165, 2 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

2000 Village Professional Dr
Suite 110
Canton, GA 30114-8499
Phone (678) 880-6698

207 Crestmont Way
Canton, GA 30114-8875

2600 Compass Rd
Glenview, IL 60026-8001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
034368GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartley Health and Wellness Associates, LLC CurrentSince Mar 1, 2016 Accepting new patients
Douglas County Family Practice, P.C. Internal Medicine CurrentSince Oct 1, 2016 Accepting new patients
Douglas County Family Practice, P.C. Past Accepting new patients
Leeway Medical Group, P.C. Internal Medicine Past Accepting new patients
Huggins Medical Group Internal Medicine Past Accepting new patients
West Cobb Medical Associates, LLC Internal Medicine PastSince May 16, 2006 Accepting new patients
Samg Inc Past Accepting new patients

Locations

2000 Village Professional Dr
Ste 110
Canton, GA 30114
Phone (678) 880-6698

3872 Highway 5
Douglasville, GA 30135
Phone (770) 949-5534

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5606/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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 8

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477612800000",
    "number": "1316957939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6934 BROAD ST",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301341839",
            "telephone_number": "678-682-1131",
            "fax_number": "770-726-7265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6934 BROAD ST",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301341604",
            "telephone_number": "770-702-7728",
            "fax_number": "770-726-7265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGGINS",
        "first_name": "MICHELLE",
        "middle_name": "ALLISON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2016-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "034368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000512784D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

Verify at the official NPI Registry.