Active NPI
Joseph Wytch Stubbs, MD
- Internal Medicine Physician
- Albany, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 024105
- Practice address
- 2402 Osler CT
Albany, GA 31707-0205 - Phone
- (229) 438-3300
- Fax
- (229) 438-3384
- NPI assigned
- Sep 21, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 024105 | GA | Primary |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 038556 | GA |
Addresses
Primary practice location
2402 Osler CT
Albany, GA 31707-0205
Mailing address
2402 Osler CT
Albany, GA 31707-0205
Phone (229) 438-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00243977D | Medicaid | GA |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Emory University School of Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
101 Yorktown Dr
Fayetteville, GA 30214-1578
101 Yorktown Dr
Suite 100
Fayetteville, GA 30214-7663
Phone (770) 460-4285
2402 Osler CT
Albany, GA 31707-0205
Phone (229) 438-3300
Hospital & facility affiliations
- Centerwell Home Health
- Phoebe Home Health
- Georgia Hospice Care
- Phoebe Putney Memorial Hospital
- Phoebe Sumter Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 16 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038556 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group of Georgia LLC | Internal Medicine | Current | Accepting new patients |
| Privia Medical Group of Georgia LLC | Internal Medicine | Current | Accepting new patients |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Locations
2402 Osler Ct
Albany, GA 31707
Phone (229) 438-3300
101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Fayetteville, GA
- NPI 1013313857
-
- Internal Medicine Physician
- Savannah, GA
- NPI 1356907273
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Albany, GA
- NPI 1780666321
-
- Community Based Hospice Care Agency
- Albany, GA
- NPI 1326414368
-
- Home Health Agency
- Albany, GA
- NPI 1790766863
-
- General Acute Care Hospital
- Albany, GA
- NPI 1992789721
-
- 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": "1127260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313366400000",
"number": "1528054020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2402 OSLER CT",
"city": "ALBANY",
"state": "GA",
"postal_code": "317070205",
"telephone_number": "229-438-3300",
"fax_number": "229-438-3384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2402 OSLER CT",
"city": "ALBANY",
"state": "GA",
"postal_code": "317070205",
"telephone_number": "229-438-3300",
"fax_number": "229-438-3384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUBBS",
"first_name": "JOSEPH",
"middle_name": "WYTCH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-21",
"last_updated": "2011-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "024105",
"primary": true
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "GA",
"license": "038556",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00243977D",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albany, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; 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.