Individual provider Active NPI

Jinsook Huh, MD

  • Developmental - Behavioral Pediatrics Physician
  • Augusta, GA
National Provider Identifier
1700453057
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
License
V0431 Issued in TX
Practice address
1120 15TH St
Augusta, GA 30912-0004
Phone
(706) 721-2273
NPI assigned
Jun 7, 2021
Last updated
Jul 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240801004149 TX Practitioner - Pediatric Medicine 1355743758 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
V0431TXMDDevelopmental - Behavioral Pediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine Single Specialty CurrentSince Jun 22, 2024 Accepting new patients
Baylor College of Medicine Single Specialty CurrentSince Jun 22, 2024 Accepting new patients
Baylor College of Medicine Single Specialty CurrentSince Jun 22, 2024 Accepting new patients
Baylor College of Medicine Single Specialty CurrentSince Jun 22, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.