Individual provider Active NPI

Christina Leigh Huntley Noguera, M.D.

  • Family Medicine Physician
  • Thomaston, GA
National Provider Identifier
1952734436
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
79511 Issued in GA
Practice address
915 W Gordon St
Thomaston, GA 30286-3427
Phone
(706) 647-7009
Fax
(706) 647-7014
NPI assigned
Aug 19, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 79511 GA Primary

Addresses

Primary practice location

915 W Gordon St
Thomaston, GA 30286-3427

Mailing address

915 W Gordon St
Thomaston, GA 30286-3427
Phone (706) 647-7009

Other practice location 1

206 Cherokee Rd
Thomaston, GA 30286-3402
Phone (706) 646-5730

Other practice location 2

4700 Waters Ave
Savannah, GA 31404-6220
Phone (912) 350-1750

Other names 1

  • Christina Leigh Huntley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20180607002025 GA Practitioner - Family Practice 6204191562 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Mercer University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upson Family Physicians, LCGroup PAC ID 3072659242, 9 clinicians

Practice addresses (Care Compare)

915 W Gordon St
Suite B
Thomaston, GA 30286-3427
Phone (706) 647-7009

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.65 of 100Reported as group
Quality
84.38
Promoting interoperability
100
Improvement activities
40
Cost
72.97

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
79511GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upson Family Physicians, LC Family Medicine CurrentSince Dec 18, 2017 Accepting new patients
Upson County Hospital Inc Family Medicine CurrentSince Jan 30, 2018 Accepting new patients
Upson Surgical Associates, LLC Past Accepting new patients

Locations

915 W Gordon St
#B
Thomaston, GA 30286
Phone (706) 647-7009

206 Cherokee Rd
Thomaston, GA 30286
Phone (706) 646-5730

915 W Gordon St
Thomaston, GA 30286
Phone (706) 647-7009

801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1952734436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 W GORDON ST",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302863427",
            "telephone_number": "706-647-7009",
            "fax_number": "706-647-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 W GORDON ST",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302863427",
            "telephone_number": "706-647-7009",
            "fax_number": "706-647-7014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 Cherokee Rd",
            "address_purpose": "LOCATION",
            "city": "Thomaston",
            "state": "GA",
            "postal_code": "302863402",
            "country_code": "US",
            "telephone_number": "706-646-5730",
            "fax_number": "706-646-3537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 Waters Ave",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314046220",
            "country_code": "US",
            "telephone_number": "912-350-1750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOGUERA",
        "first_name": "CHRISTINA LEIGH",
        "middle_name": "HUNTLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "79511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "HUNTLEY",
            "middle_name": "LEIGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Thomaston, GA

Sources for this page

Verify at the official NPI Registry.