Individual provider Active NPI

David Lewis Hubbard, CRNA

  • Certified Registered Nurse Anesthetist
  • North Chesterfield, VA
National Provider Identifier
1598301657
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN293987 Issued in GA
Practice address
10800 Midlothian Tpke Ste 265
North Chesterfield, VA 23235-4700
Phone
(804) 594-1383
Fax
(804) 594-0915
NPI assigned
Nov 25, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R106754 AR
Certified Registered Nurse Anesthetist 367500000X RN293987 GA Primary

Addresses

Primary practice location

10800 Midlothian Tpke Ste 265
North Chesterfield, VA 23235-4700

Mailing address

PO Box 73709
Newnan, GA 30271-3709
Phone (770) 251-2060

Other practice location 1

163 S Tallahassee St
Hazlehurst, GA 31539-6465
Phone (912) 375-7781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200513002509 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4880025592 Reassigns benefits to 7 organizations
I20260602001014 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 4880025592 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mymichigan Medical Center GladwinGroup PAC ID 0143262915, 66 clinicians
Mymichigan Medical Center ClareGroup PAC ID 7012829773, 128 clinicians
Overwatch AnesthesiaGroup PAC ID 3678949146, 69 clinicians
Integrated Anesthesia Solutions LLCGroup PAC ID 2466972377, 22 clinicians

Practice addresses (Care Compare)

515 Quarter St
Gladwin, MI 48624-1959
Phone (989) 426-9286

703 N McEwan St
Clare, MI 48617-1440
Phone (989) 802-5000

865 S 1St St
Jesup, GA 31545-0210
Phone (912) 427-6811

874 Lanier Ave W
Suite 100
Fayetteville, GA 30214-7659
Phone (770) 461-4000

Hospital & facility affiliations

  • Mymichigan Medical Center Clare Hospital, Clare, MI, CCN 230180
  • Wayne Memorial Hospital Hospital, Jesup, GA, CCN 110124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
R106754ARMDCertified Registered Nurse Anesthetist
RN293987GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Authority of Jeff Davis County Georgia CurrentSince Aug 1, 2022 Accepting new patients
Overwatch Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Nov 2, 2024 Accepting new patients
Sentry Anesthesia Management, LLC CurrentSince May 11, 2020 Accepting new patients
Integrated Anesthesia Solutions, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2025 Accepting new patients
Hospital Authority of Jeff Davis County Georgia CurrentSince Aug 1, 2022 Accepting new patients
Ironcrest Anesthesia LLC CurrentSince Dec 10, 2025 Accepting new patients
Sweet Dreams Nurse Anesthesia, Inc. Nurse Anesthetist, Certified Registered CurrentSince May 30, 2025 Accepting new patients

Locations

414 5th Ave
Albany, GA 31701
Phone (229) 432-9515

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

163 E Tollison St
Baxley, GA 31513
Phone (912) 367-9847

874 Lanier Ave W
Ste 100
Fayetteville, GA 30214
Phone (770) 461-4000

163 S Tallahassee St
Hazlehurst, GA 31539
Phone (912) 375-7781

112 Professional Ct
Jesup, GA 31545

110 Professional Ct
Jesup, GA 31545
Phone (912) 427-6029

865 S 1st St
Jesup, GA 31545
Phone (912) 427-6811

5400 Bowman Rd
Macon, GA 31210
Phone (478) 621-4501

117 Kite Rd
Swainsboro, GA 30401
Phone (248) 972-8725

817 Smith Ave
Thomasville, GA 31792
Phone (229) 227-0086

310 Maple Dr
Vidalia, GA 30474
Phone (912) 537-4119

Organizations & group practices 11

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.

Hospital & facility affiliations 2

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": "1574640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1598301657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73709",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302713709",
            "telephone_number": "770-251-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 MIDLOTHIAN TPKE STE 265",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354700",
            "telephone_number": "804-594-1383",
            "fax_number": "804-594-0915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "163 S Tallahassee St",
            "address_purpose": "LOCATION",
            "city": "Hazlehurst",
            "state": "GA",
            "postal_code": "315396465",
            "country_code": "US",
            "telephone_number": "912-375-7781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "DAVID",
        "middle_name": "LEWIS",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-25",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "R106754",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN293987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.