Active NPI
Miguel E Stubbs M D P C
- Geriatric Medicine (Internal Medicine) Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 037708
- Legal business name
- MIGUEL E STUBBS M D P C
- Practice address
- 230 Beaver Falls PL SW
Atlanta, GA 30331-8326 - Phone
- (404) 803-5246
- Fax
- (770) 991-5012
- NPI assigned
- Aug 28, 2015
- Last updated
- Aug 28, 2015
- 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
- Dr. Miguel E Stubbs, MD
- Title
- Ceo
- Phone
- (404) 803-5246
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 037708 | GA | Primary |
Addresses
Primary practice location
230 Beaver Falls PL SW
Atlanta, GA 30331-8326
Mailing address
230 Beaver Falls PL SW
Atlanta, GA 30331-8326
Phone (404) 803-5246
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00603006I | Medicaid | GA |
National Provider Directory
National Provider Directory- Tax ID family
- Miguel E Stubbs M D P C
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Smyrna, GA
- NPI 1235309568
-
- Internal Medicine Physician
- Austell, GA
- NPI 1558887018
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1440720000000",
"number": "1518334200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 BEAVER FALLS PL SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303318326",
"telephone_number": "404-803-5246",
"fax_number": "770-991-5012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 BEAVER FALLS PL SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303318326",
"telephone_number": "404-803-5246",
"fax_number": "770-991-5012"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIGUEL E STUBBS M D P C",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-28",
"last_updated": "2015-08-28",
"status": "A",
"authorized_official_last_name": "STUBBS",
"authorized_official_first_name": "MIGUEL",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "404-803-5246",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "GA",
"license": "037708",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00603006I",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.