Active NPI
Marc S Husid, M.D.
- Neurology Physician
- Fort Gordon, GA
National Provider Identifier
1366492209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 051473
- Practice address
- 300 E Hospital Road
Neuroscience and Rehab Center Room 12C 12
Fort Gordon, GA 30905 - Phone
- (706) 787-2697
- Fax
- (706) 787-1327
- NPI assigned
- May 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 051473 | GA | Primary |
Addresses
Primary practice location
300 E Hospital Road
Neuroscience and Rehab Center Room 12C 12
Fort Gordon, GA 30905
Mailing address
300 E Hospital Road
Neuroscience and Rehab Center Room 12C 12
Fort Gordon, GA 30905
Phone (706) 787-2697
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00952883A | Medicaid | GA | |
| G51473 | Medicaid | SC | |
| 00952883C | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051473 | GA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walton Rehabiltation Hospital | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rehabilitation Hospital
- Augusta, GA
- NPI 1699860817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381104000000",
"number": "1366492209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E HOSPITAL ROAD",
"address_2": "NEUROSCIENCE AND REHAB CENTER ROOM 12C 12",
"city": "FORT GORDON",
"state": "GA",
"postal_code": "30905",
"telephone_number": "706-787-2697",
"fax_number": "706-787-1327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E HOSPITAL ROAD",
"address_2": "NEUROSCIENCE AND REHAB CENTER ROOM 12C 12",
"city": "FORT GORDON",
"state": "GA",
"postal_code": "30905",
"telephone_number": "706-787-2697",
"fax_number": "706-787-1327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSID",
"first_name": "MARC",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2013-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "GA",
"license": "051473",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00952883A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G51473",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00952883C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Gordon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.