Hughston Clinic, PC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

HUGHSTON CLINIC, PC

Practice address

4689 US Highway 17
Suite 11& 12
Fleming Island, FL 32003-4831

Phone

(904) 375-9753

NPI assigned

Apr 6, 2016

Last updated

Oct 25, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amanda Grace Fromkin

Title

Director of Credentialing

Phone

(706) 494-3071

Specialties & licenses 1

Addresses

Other names 1

• The Hughston Clinic, PC Former legal business name

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540425600000",
    "number": "1588028559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6262 VETERANS PKWY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319093540",
            "telephone_number": "706-494-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4689 US HIGHWAY 17",
            "address_2": "SUITE 11& 12",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034831",
            "telephone_number": "904-375-9753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUGHSTON CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-06",
        "last_updated": "2018-10-25",
        "status": "A",
        "authorized_official_last_name": "FROMKIN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "706-494-3071"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Hughston Clinic, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "The Hughston Clinic, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Isaiah Tobias Howard
• Yvonne Hsia
• Courtney Huey, LMFT
• Shelly Hughes, LMHC
• Hughston Clinic Southeast, PC
• Hughston Orthopaedic Southeast PC
• Glorimar Roman Hutchinson, PHARM.D.
• Integrated Community Oncology Network LLC
• Into the Looking Glasses, LLC
• Rheema Islam

• Durable Medical Equipment & Medical Supplies in Fleming Island, FL
• Providers in Fleming Island, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.