NPIMap

Organization Active NPI

Hughston Clinic Southeast PC

  • Durable Medical Equipment & Medical Supplies
  • Panama City, FL
National Provider Identifier
1841776937
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HUGHSTON CLINIC SOUTHEAST PC
Practice address
25 Doctors Drive
Medical Plaza 2
Panama City, FL 32405-4590
Phone
(850) 767-2455
NPI assigned
Jul 12, 2018
Last updated
Sep 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Authorized official

Name
Marla McMeans
Title
System Director of Credentialing
Phone
(706) 494-3171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X FL Primary

Addresses

Primary practice location

25 Doctors Drive
Medical Plaza 2
Panama City, FL 32405-4590

Mailing address

6262 Veterans Pkwy
Columbus, GA 31909-3540
Phone (706) 494-3071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180824002796 FL DME Supplier - Physician - Orthopedic/Orthopedic Surgery 9234423971 Practice locations: Panama City, FL

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Hughston Clinic Southeast P9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1841776937",
    "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",
            "fax_number": "706-494-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 DOCTORS DRIVE",
            "address_2": "MEDICAL PLAZA 2",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054590",
            "telephone_number": "850-767-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUGHSTON CLINIC SOUTHEAST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-12",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "MCMEANS",
        "authorized_official_first_name": "MARLA",
        "authorized_official_title_or_position": "SYSTEM DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "706-494-3171"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.