Michael S. Huber, M.D.
Individual provider Active NPI Family Medicine Physician · Lucedale, MS
NPI 1487767281 · NPPES record last updated Nov 22, 2016
Key facts
- NPI
- 1487767281
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 14811 (MS)
- Practice address
- 92 W. Ratliff Street
Lucedale, MS 39452-6537 - Phone
- (601) 947-8181
- Fax
- (601) 947-4411
- NPI assigned
- Aug 16, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 11
Owned or controlled facilities with NPI records 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of South Alabama College of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Medical Center
Practice addresses (Care Compare)
92 Ratliff St
Suite a
Lucedale, MS 39452-6537
Phone (601) 947-4411
Hospital & facility affiliations
- Enhabit Home Health of the Gulf Coast
- Deaconess Homecare- Region I
- Vitalcaring Group
- Arden of South Mississippi LLC
- George Regional Health System
- Greene County Hospital
- Singing River Health System
- Greene County Health and Rehabilitation
- Glen Oaks Nursing Center
- George Regional Health & Rehab Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| George County Hospital |
Skilled nursing facility | Adp of the SNF | Jan 1, 2020 |
| Glen Oaks Nursing Center |
Skilled nursing facility | Adp of the SNF | Jan 1, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090422000298 | MS | Practitioner - Family Practice | 3971650334 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14811 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inpatient Physician Services | Current |
Accepting new patients | |
| Greene County Family Medical Clinic | Current |
Accepting new patients | |
| Community Medical Center | Family Medicine | Current |
Accepting new patients |
| George County Hospital | Past | Accepting new patients | |
| Delco Inc | Past | Accepting new patients | |
| George Regional Health and Rehab Center | Past | Accepting new patients |
Locations
1017 Jackson Ave
Leakesville, MS 39451
Phone (601) 394-2820
92 Ratliff St
Lucedale, MS 39452
Phone (601) 947-1330
57 Dewey St
Lucedale, MS 39452
Phone (601) 766-0308
859 Winter St
Lucedale, MS 39452
Phone (601) 766-4286
92 Ratliff St
#A
Lucedale, MS 39452
Phone (601) 947-4411
Interoperability endpoints
- mikehuber@communitym.allscriptsdirect.net
- https://fhir4.healow.com/fhir/r4/IBHCBA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 14811 | MS | Yes |
Addresses
Primary practice location
92 W. Ratliff Street
Lucedale, MS 39452-6537
Mailing address
PO Box 1007
Lucedale, MS 39452-1007
Phone (601) 947-8181
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0117010 | Medicaid | MS | |
| CN0018 | Other | MS | PALMETTO GBA RAILROAD GRO |
| C00960 | Other | MS | MEDICARE CAHABA |
| 080112708 | Other | MS | PALMETTO GBA MEDICARE |
NPI Registry JSON
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479772800000",
"number": "1487767281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1007",
"city": "LUCEDALE",
"state": "MS",
"postal_code": "394521007",
"telephone_number": "601-947-8181",
"fax_number": "601-947-4411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92 W. RATLIFF STREET",
"city": "LUCEDALE",
"state": "MS",
"postal_code": "394526537",
"telephone_number": "601-947-8181",
"fax_number": "601-947-4411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBER",
"first_name": "MICHAEL",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2016-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "14811",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0117010",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA RAILROAD GRO",
"identifier": "CN0018",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE CAHABA",
"identifier": "C00960",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA MEDICARE",
"identifier": "080112708",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lucedale, MS
- Susan H. Hewlett
- Renata Holland Hillman
- Rodney Lee Holdren II
- Edward Eray Howell
- Natasha Howell
- Alaina Brooke Huff-Brown
- Taylor Hultz
- James M Hunt
- Deborah A Hyatt
- Lacy Kaye Hyatt
All providers in Lucedale, MS · Family Medicine Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.