Hubbard Pediatric Group

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

064814 Issued in GA

Legal business name

HUBBARD PEDIATRIC GROUP

Practice address

4495 Atlanta Hwy
Loganville, GA 30052-6736

Phone

(770) 710-0117

NPI assigned

May 5, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Holly L Hubbard, MD

Title

Owner/ President

Phone

(770) 710-0117

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8840/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399248000000",
    "number": "1447660113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 BLUE CREEK LN",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300527834",
            "telephone_number": "770-710-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4495 ATLANTA HWY",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300526736",
            "telephone_number": "770-710-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUBBARD PEDIATRIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-05",
        "last_updated": "2014-05-05",
        "status": "A",
        "authorized_official_last_name": "HUBBARD",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "770-710-0117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "064814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Holly Lorraine Hubbard, MD
• Molly Hughes
• Ashley Hunt
• Ciera Hutchins
• Hyeon Uk Hwang

• Pediatrics Physician in Loganville, GA
• Providers in Loganville, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.