Individual provider Active NPI

Linda Michelle Hubbard

  • Medical Physician Assistant
  • Beaufort, SC
National Provider Identifier
1942348859
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1187 Issued in SC
Practice address
1055 Ribaut Rd Ste 30
Beaufort, SC 29902-5447
Phone
(843) 476-4702
Fax
(843) 476-4290
NPI assigned
Feb 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1187 SC Primary

Addresses

Primary practice location

1055 Ribaut Rd Ste 30
Beaufort, SC 29902-5447

Mailing address

1055 Ribaut Rd Ste 30
Beaufort, SC 29902-5447
Phone (843) 476-4702

Other practice location 1

841 Elm St W
Hampton, SC 29924-2731
Phone (843) 476-4702

Other identifiers 1

IdentifierTypeStateIssuer
0590PAMedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080122000291 SC Practitioner - Physician Assistant 8325129919 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Medical University of South Carolina College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southern Coast Spine and Pain Specialists LLCGroup PAC ID 9133515661, 3 clinicians

Practice addresses (Care Compare)

1055 Ribaut Rd
Suite 30
Beaufort, SC 29902-5447
Phone (843) 505-6486

435 N Cedar St
Summerville, SC 29483-6407
Phone (843) 505-6486

841 Elm St W
Hampton, SC 29924-2731
Phone (843) 505-6486

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Coast Specialists, LLC CurrentSince Aug 13, 2021 Accepting new patients
Gavin Orthopaedics CurrentSince Mar 6, 2017 Accepting new patients

Locations

1055 Ribaut Rd
Ste 30
Beaufort, SC 29902
Phone (843) 476-4702

841 Elm St W
Hampton, SC 29924
Phone (843) 476-4702

19 Moss Creek Vlg
Ste D
Hilton Head Island, SC 29926
Phone (843) 681-5077

15 Moss Creek Vlg
Hilton Head Island, SC 29926
Phone (843) 681-5077

9565 Highway 78
Bldg 100
Ladson, SC 29456
Phone (843) 553-2477

16 Okatie Center Blvd S
Ste 201
Okatie, SC 29909
Phone (843) 476-4702

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.

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": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1942348859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 RIBAUT RD STE 30",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025447",
            "telephone_number": "843-476-4702",
            "fax_number": "843-476-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 RIBAUT RD STE 30",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025447",
            "telephone_number": "843-476-4702",
            "fax_number": "843-476-4290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "841 Elm St W",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "SC",
            "postal_code": "299242731",
            "country_code": "US",
            "telephone_number": "843-476-4702",
            "fax_number": "843-476-4290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "LINDA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "1187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0590PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

Verify at the official NPI Registry.