Active NPI
Hughston Clinic PC
- Durable Medical Equipment & Medical Supplies
- Macon, GA
National Provider Identifier
1457841900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- HUGHSTON CLINIC PC
- Practice address
- 100 N Macon St
Macon, GA 31210-6563 - Phone
- (706) 324-6661
- NPI assigned
- May 10, 2018
- Last updated
- Aug 18, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amy E Benchwick
- Title
- Director of Credentialing
- Phone
- (706) 494-3193
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
100 N Macon St
Macon, GA 31210-6563
Mailing address
PO Box 370
Fortson, GA 31808-0370
Phone (706) 494-3193
Other names 1
- The Hughston Clinic, PC
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.cioxhealth.com:8291/Gateway/DocumentSubmission/1_1/NhinService/XDRRequest_Service | Other | Ciox Health |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692316800000",
"number": "1457841900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 370",
"city": "FORTSON",
"state": "GA",
"postal_code": "318080370",
"telephone_number": "706-494-3193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N MACON ST",
"city": "MACON",
"state": "GA",
"postal_code": "312106563",
"telephone_number": "706-324-6661"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUGHSTON CLINIC PC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-10",
"last_updated": "2023-08-18",
"certification_date": "2023-08-18",
"status": "A",
"authorized_official_last_name": "BENCHWICK",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "E",
"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": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.cioxhealth.com:8291/Gateway/DocumentSubmission/1_1/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "esmd.cioxhealth.com and OID is '2.16.840.1.113883.3.6635.1.1'",
"affiliationName": "Ciox Health",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "929 North Point Parkway",
"city": "Alpharetta",
"state": "GA",
"country_code": "US",
"postal_code": "30005",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "The Hughston Clinic, PC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.