NPIMap

Individual provider Active NPI

Michael S. Huber, M.D.

  • Family Medicine Physician
  • Lucedale, MS
National Provider Identifier
1487767281
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
14811 Issued in MS
Practice address
92 W. Ratliff Street
Lucedale, MS 39452-6537
Phone
(601) 947-8181
Fax
(601) 947-4411
NPI assigned
Aug 16, 2006
Last updated
Nov 22, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 14811 MS Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090422000298 MS Practitioner - Family Practice 3971650334 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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 CenterGroup PAC ID 8921072588, 17 clinicians

Practice addresses (Care Compare)

92 Ratliff St
Suite a
Lucedale, MS 39452-6537
Phone (601) 947-4411

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Center Family Medicine CurrentSince Aug 26, 1997 Accepting new patients
Inpatient Physician Services CurrentSince Aug 26, 1997 Accepting new patients
Greene County Family Medical Clinic CurrentSince Feb 19, 2018 Accepting new patients
Delco Inc Past Accepting new patients
George County Hospital 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

57 Dewey St
Lucedale, MS 39452
Phone (601) 766-0308

859 Winter St
Lucedale, MS 39452
Phone (601) 766-4286

92 Ratliff St
Lucedale, MS 39452
Phone (601) 947-1330

92 Ratliff St
#A
Lucedale, MS 39452
Phone (601) 947-4411

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBHCBA
  • Direct secure messaging: mikehuber@communitym.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
George County HospitalLeakesville, MS, CCN 255277 Skilled nursing facility Adp of the SNF Jan 1, 2020
Glen Oaks Nursing CenterLucedale, MS, CCN 255181 Skilled nursing facility Adp of the SNF Jan 1, 2020

Owned or controlled facilities with NPI records 2

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

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lucedale, MS

Sources for this page

Verify at the official NPI Registry.