Grover Cleveland Hubley Jr., MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E4423 Issued in TX

Practice address

813 South State Street Suite 100
Madisonville, TX 77864

Phone

(936) 348-3515

Fax

(936) 348-3163

NPI assigned

Aug 29, 2006

Last updated

Oct 24, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ghubley@madisonhltpt.direct.st-joseph.md

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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  • Physician Assistant
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  • NPI 1629127212
  NPD (past)
• St Joseph Physician Associates

  • Neurological Surgery Physician
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  • NPI 1851405039

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319414400000",
    "number": "1720197437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 OLD MILL LANE",
            "city": "MADISONVILLE",
            "state": "TX",
            "postal_code": "77864",
            "telephone_number": "936-348-3515",
            "fax_number": "936-348-3163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 SOUTH STATE STREET SUITE 100",
            "city": "MADISONVILLE",
            "state": "TX",
            "postal_code": "77864",
            "telephone_number": "936-348-3515",
            "fax_number": "936-348-3163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBLEY",
        "first_name": "GROVER",
        "middle_name": "CLEVELAND",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2011-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E4423",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "E4423",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1669557179",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCOTT & WHITE",
            "identifier": "93043",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130980904",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa Fusaro, LPC
• Kelle Dawn Harper, NP
• HCC-Healthcare Properties, LLC (Riverwood Healthcare & Rehabilitation)
• Cynthia Raye Horne, RN
• Jared Adam Hough, PA-C
• William Judson Humphries, MSN MBA APRN FNP-C
• Alexander Richard Hunt, MD
• Kacelyn Jarrell
• Kinsey Johnson
• Julie Blair Jones, PA-C

• Family Medicine Physician in Madisonville, TX
• Providers in Madisonville, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; 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.