Miguel E Stubbs, M.D.,P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

037708 Issued in GA

Practice address

3001 S Cobb Dr SE
Suite 103
Smyrna, GA 30080-7809

Phone

(678) 556-9460

Fax

(678) 556-9462

NPI assigned

Jun 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Magnolia Hospice, LLC

  • Community Based Hospice Care Agency
  • Conyers, GA
  • NPI 1396169074

  Contracted Managing Employee

  CMS ownership

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.

• Metro Atlanta Advance Wound Care

  • Internal Medicine Physician
  • Austell, GA
  • NPI 1326935057
  Medicare reassignment NPD
• Miguel E Stubbs M D P C

  • Geriatric Medicine (Internal Medicine) Physician
  • Atlanta, GA
  • NPI 1518334200
  NPD (past) Authorized official
• Miguel E. Stubbs, M.D.P.C.

  • Skilled Nursing Facility
  • Smyrna, GA
  • NPI 1235309568
  NPD (past) Authorized official
• Miguel E. Stubbs, MD PC

  • Internal Medicine Physician
  • Austell, GA
  • NPI 1558887018
  NPD (past) Authorized official

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1477591675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 S COBB DR SE",
            "address_2": "SUITE B",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804128",
            "telephone_number": "678-556-9460",
            "fax_number": "678-556-9462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 S COBB DR SE",
            "address_2": "SUITE 103",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300807809",
            "telephone_number": "678-556-9460",
            "fax_number": "678-556-9462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUBBS",
        "first_name": "MIGUEL",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "M.D.,P.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "037708",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "GA",
            "license": "037708",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00603006I",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Floyd Stewart, D.C.
• Timothy Stoner, PHARMD
• Strength of Heart
• Christine Danielle Stripling, DPT
• Griffin Chase Strom, PA-C
• Joshua A Suggs, PA-C
• Nina Suh
• Mya Nichelle Sumter, PHARMD
• Suncrest Home Health of Georgia, Inc
• Sheela Sundaram, M.S.

• Internal Medicine Physician in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.