Active NPI
Justin Stubbs
- Family Nurse Practitioner
- Americus, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN203546
- Practice address
- 132 US Highway 280 W
Americus, GA 31719-8645 - Phone
- (229) 931-6830
- Fax
- (229) 931-7134
- NPI assigned
- Jun 26, 2017
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN203546 | GA | Primary |
Addresses
Primary practice location
132 US Highway 280 W
Americus, GA 31719-8645
Mailing address
500 W 3Rd Ave Ste 101
Albany, GA 31701-1900
Phone (229) 312-5800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- 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
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
417 W 3Rd Ave
Albany, GA 31701-1943
Phone (229) 312-5133
Hospital & facility affiliations
- Phoebe Sumter Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN203546 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoebe Dorminy Kids Health | Current | Accepting new patients | |
| Phoebe Physician Group, Inc | Current | Accepting new patients |
Locations
500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802
2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802
417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207
151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900
132 US Highway 280 W
Americus, GA 31719
Phone (229) 931-1159
Interoperability endpoints
- justin.stubbs.1@8478.direct.athenahealth.com
- justin.stubbs@phoebehealth.gadirect.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 and National Provider Directory roles.
-
- Clinic/Center
- Albany, GA
- NPI 1487899464
-
- Clinic/Center
- Fitzgerald, GA
- NPI 1144501867
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Americus, GA
- NPI 1609001312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499040000000",
"number": "1477073989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W 3RD AVE STE 101",
"city": "ALBANY",
"state": "GA",
"postal_code": "317011900",
"telephone_number": "229-312-5800",
"fax_number": "229-312-5853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 US HIGHWAY 280 W",
"city": "AMERICUS",
"state": "GA",
"postal_code": "317198645",
"telephone_number": "229-931-6830",
"fax_number": "229-931-7134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUBBS",
"first_name": "JUSTIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-26",
"last_updated": "2017-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN203546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Americus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2017; 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.