Individual provider Active NPI

Loghman Huseynov, MD

  • Internal Medicine Physician
  • Clinton, SC
National Provider Identifier
1962891317
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
84617 Issued in GA
Practice address
22725 Highway 76 E
Clinton, SC 29325-7527
Phone
(864) 833-9100
NPI assigned
Jan 22, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 37886 SC
Internal Medicine Physician 207R00000X 84617 GA Primary
Hospitalist Physician 208M00000X 84617 GA
Internal Medicine Physician 207R00000X 37886 SC

Addresses

Primary practice location

22725 Highway 76 E
Clinton, SC 29325-7527

Mailing address

1 Independence PT
Ste 212
Greenville, SC 29615-4545
Phone (864) 797-6328

Other practice location 1

5995 Spring St
Warm Springs, GA 31830-2149
Phone (706) 655-3331

Other practice location 2

1787 Allendale Fairfax Hwy
Fairfax, SC 29827-9133
Phone (303) 390-1940

Other practice location 3

1 Meadows Pkwy
Vidalia, GA 30474-8759
Phone (912) 535-5555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA, LA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20150825005184 SC Practitioner - HospitalistPractitioner - Internal Medicine 5294041075 Reassigns benefits to 1 organization
I20200504002750 GA Practitioner - HospitalistPractitioner - Internal Medicine 5294041075 Reassigns benefits to 10 organizations
I20250927000409 LA Practitioner - Internal MedicinePractitioner - Hospitalist 5294041075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Physicians Group-Pannu PLLCGroup PAC ID 0345467486, 141 clinicians
WK Bossier HospitalistsGroup PAC ID 4486729639, 23 clinicians

Practice addresses (Care Compare)

1787 Allendale Fairfax Hwy
Fairfax, SC 29827-9133
Phone (803) 632-3415

2400 Hospital Dr
Suite 130
Bossier City, LA 71111-2386
Phone (318) 212-7990

5995 Spring St
Warm Springs, GA 31830-2149
Phone (706) 655-3331

Hospital & facility affiliations

  • Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111
  • Allendale County Hospital Hospital, Fairfax, SC, CCN 421300
  • Allendale County Hospital Nursing home, CCN 42Z300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
84617GAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Hospitalist Group LLC Hospitalist CurrentSince May 1, 2020 Accepting new patients
Central Georgia Rehabilitation CurrentSince May 1, 2023 Accepting new patients
Benning Hospitalist Services, LLC Hospitalist CurrentSince Aug 15, 2020 Accepting new patients
Apogee Medical Group Georgia Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
Muscogee Hospitalist Services, LLC Hospitalist CurrentSince Aug 15, 2020 Accepting new patients
Rural Physicians Group-Pannu PLLC Internal Medicine CurrentSince Jan 26, 2026 Accepting new patients
Hightower Physician Services, PC Hospitalist CurrentSince Dec 1, 2021 Accepting new patients
Cogent Healthcare of Georgia PC Internal Medicine CurrentSince Nov 1, 2020 Accepting new patients
Statesboro Hma Physician Management LLC Hospitalist CurrentSince Nov 10, 2022 Accepting new patients
WK Bossier Hospitalists Hospitalist CurrentSince Jul 29, 2025 Accepting new patients
Phoebe Physician Group, Inc CurrentSince May 1, 2020 Accepting new patients
Houston Hospitalist Group LLC Hospitalist CurrentSince May 1, 2020 Accepting new patients
Willis Knighton Medical Center, Inc. Past Accepting new patients
Health Services of Central Georgia, Inc Past Accepting new patients

Locations

5575 Dtc Pkwy
Ste 225
Greenwood Village, CO 80111

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

705 Dixie St
Carrollton, GA 30117
Phone (770) 812-9666

100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500

163 S Tallahassee St
Hazlehurst, GA 31539
Phone (912) 375-7781

3351 Northside Dr
Macon, GA 31210
Phone (478) 201-6500

4035 Elnora Dr
Macon, GA 31210
Phone (478) 201-6500

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

1499 Fair Rd
Statesboro, GA 30458
Phone (912) 486-1000

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

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

1 Meadows Pkwy
Vidalia, GA 30474
Phone (912) 535-5429

5995 Spring St
Warm Springs, GA 31830
Phone (706) 632-4374

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

2400 Hospital Dr
Ste 130
Bossier City, LA 71111
Phone (318) 212-7990

1202 Louisiana Ave
Shreveport, LA 71101
Phone (318) 212-8946

1787 Allendale Fairfax Hwy
Fairfax, SC 29827
Phone (803) 632-3311

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: lhuseynov41784@direct.anmedhealth.net

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 6

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": "1421884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1962891317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PT",
            "address_2": "STE 212",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154545",
            "telephone_number": "864-797-6328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22725 HIGHWAY 76 E",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293257527",
            "telephone_number": "864-833-9100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5995 Spring St",
            "address_purpose": "LOCATION",
            "city": "Warm Springs",
            "state": "GA",
            "postal_code": "318302149",
            "country_code": "US",
            "telephone_number": "706-655-3331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1787 Allendale Fairfax Hwy",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "SC",
            "postal_code": "298279133",
            "country_code": "US",
            "telephone_number": "303-390-1940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Meadows Pkwy",
            "address_purpose": "LOCATION",
            "city": "Vidalia",
            "state": "GA",
            "postal_code": "304748759",
            "country_code": "US",
            "telephone_number": "912-535-5555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUSEYNOV",
        "first_name": "LOGHMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-22",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "SC",
            "license": "37886",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "84617",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "84617",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "37886",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, SC

Sources for this page

Verify at the official NPI Registry.