Active NPI
Jinsook Huh, MD
- Developmental - Behavioral Pediatrics Physician
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental - Behavioral Pediatrics Physician
- License
- V0431
- Practice address
- 1120 15TH St
Augusta, GA 30912-0004 - Phone
- (706) 721-2273
- NPI assigned
- Jun 7, 2021
- Last updated
- Jul 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 12912 | GA | |
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | V0431 | TX | Primary |
Addresses
Primary practice location
1120 15TH St
Augusta, GA 30912-0004
Mailing address
1399 Walton Way Apt 109
Augusta, GA 30901-2680
Phone (404) 542-3329
Other practice location 1
8080 N Stadium Dr
Houston, TX 77054-1829
Phone (832) 822-3400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| V0431 | TX | MD | Developmental - Behavioral Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baylor College of Medicine | Single Specialty | Current | Accepting new patients |
| Baylor College of Medicine | Single Specialty | Current | Accepting new patients |
| Baylor College of Medicine | Single Specialty | Current | Accepting new patients |
| Baylor College of Medicine | Single Specialty | Current | Accepting new patients |
Locations
1 Baylor Plz
#2
Houston, TX 77030
1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860
7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924
17450 St Lukes Way
Ste 340
The Woodlands, TX 77384
Phone (936) 266-2645
Interoperability endpoints
- jhuh530970@prddirect.texaschildrens.org
Organizations & group practices 4
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.
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dba HCHD Community Medicine
- Family Medicine Physician
- Houston, TX
- NPI 1053352914
Single Specialty
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dba BCM Physicians
- Ph.D. Medical Genetics
- Houston, TX
- NPI 1881026664
Single Specialty
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- Orthopaedic Surgery Physician
- Sugar Land, TX
- NPI 1700683844
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1700453057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1399 WALTON WAY APT 109",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309012680",
"telephone_number": "404-542-3329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 15TH ST",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309120004",
"telephone_number": "706-721-2273"
}
],
"practiceLocations": [
{
"address_1": "8080 N Stadium Dr",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770541829",
"country_code": "US",
"telephone_number": "832-822-3400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUH",
"first_name": "JINSOOK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-07",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "12912",
"primary": false
},
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "TX",
"license": "V0431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.