Active NPI
John Cowan Hubbard
- Physician Assistant
- Raleigh, NC
National Provider Identifier
1376166371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-10943
- Practice address
- 12341 Strickland Rd
Raleigh, NC 27613-1273 - Phone
- (919) 865-8000
- NPI assigned
- May 26, 2020
- Last updated
- Mar 21, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | 0010-10943 | NC | Primary |
Addresses
Primary practice location
12341 Strickland Rd
Raleigh, NC 27613-1273
Mailing address
8604 Kimillie CT
Wake Forest, NC 27587-3523
Phone (919) 995-5854
Other practice location 1
8604 Kimillie Ct
Wake Forest, NC 27587-3523
Phone (919) 995-5854
Other practice location 2
509 N Brightleaf Blvd
Smithfield, NC 27577-4407
Phone (919) 938-7189
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jhubbard700901@direct.UNC.nchie.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4420 Lake Boone TRL
Raleigh, NC 27607-7505
509 N Brightleaf Blvd
Smithfield, NC 27577-4407
Phone (984) 215-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rex Hospital Inc | Past | Accepting new patients |
Interoperability endpoints
- jhubbard700901@direct.unc.nchie.net
Organizations & group practices 2
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.
-
dba UNC Health North Carolina Heart and Vascular
- Hospitalist Physician
- Raleigh, NC
- NPI 1215741640
-
dba North Carolina Heart and Vascular
- Cardiovascular Disease Physician
- Raleigh, NC
- NPI 1972939643
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Johnston Health
- General Acute Care Hospital
- Smithfield, NC
- NPI 1619911104
-
dba Johnston Health Home Care and Hospice
- Home Health Agency
- Smithfield, NC
- NPI 1902845928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710979200000",
"number": "1376166371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8604 KIMILLIE CT",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275873523",
"telephone_number": "919-995-5854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12341 STRICKLAND RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276131273",
"telephone_number": "919-865-8000"
}
],
"practiceLocations": [
{
"address_1": "8604 Kimillie Ct",
"address_purpose": "LOCATION",
"city": "Wake Forest",
"state": "NC",
"postal_code": "275873523",
"country_code": "US",
"telephone_number": "919-995-5854",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "509 N Brightleaf Blvd",
"address_purpose": "LOCATION",
"city": "Smithfield",
"state": "NC",
"postal_code": "275774407",
"country_code": "US",
"telephone_number": "919-938-7189",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUBBARD",
"first_name": "JOHN",
"middle_name": "COWAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-26",
"last_updated": "2024-03-21",
"certification_date": "2024-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-10943",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jhubbard700901@direct.UNC.nchie.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "509 N Brightleaf Blvd",
"city": "Smithfield",
"state": "NC",
"country_code": "US",
"postal_code": "275774407",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.