Hughston Clinic PC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

HUGHSTON CLINIC PC

Practice address

341 Racetrack Rd NW
Ste B
Fort Walton Beach, FL 32547-1552

Phone

(850) 659-7502

Fax

(850) 864-4076

NPI assigned

Jan 17, 2017

Organization subpart

No

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

Authorized official

Name

Amy King

Title

Director of Credentialing

Phone

(706) 494-3193

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491523200000",
    "number": "1326584194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6262 VETERANS PKWY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319093540",
            "telephone_number": "706-494-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 RACETRACK RD NW",
            "address_2": "STE B",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471552",
            "telephone_number": "850-659-7502",
            "fax_number": "850-864-4076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUGHSTON CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-04-07",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "706-494-3193"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Huang, M.D.
• Sarah Drew Hudson, PHARMD
• Charles Hughes, MD
• Richard J Hughes, MD
• Shawn Gerard Hughes, D.O.
• Hughston Clinic Southeast PC
• Hughston Orthopaedic Southeast PC
• Gina R Hunt
• William Harrison Hunt, MD
• Edward Lee Hurley, LMFT

• Durable Medical Equipment & Medical Supplies in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.