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HUBBARD PEDIATRIC GROUP
NPI 1447660113
Pediatrics in Loganville, GA

Active since May 05, 2014CLIA 11D2103338 · Waiver
4495 ATLANTA HWY, LOGANVILLE, GA 30052(770) 710-0117 Get Directions Write a Review

NPPES record last updated: May 5, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Hubbard Pediatric Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HUBBARD PEDIATRIC GROUP (NPI 1447660113) is a healthcare organization registered as a pediatrics in Loganville, Georgia and active in the NPI registry since May 2014. The organization holds a CLIA Waiver certificate valid through October 8, 2027 and lists Holly L Hubbard, Owner/ President, as its authorized official.

NPPES Registry Identity

NPI1447660113
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameHUBBARD PEDIATRIC GROUP
Location Address4495 ATLANTA HWYLoganville, GA 30052-6736
Mailing Address309 Blue Creek LnLoganville, GA 30052-7834 · (770) 710-0110
Phone(770) 710-0117
Organization SubpartNo
Authorized OfficialHolly L HubbardOwner/ President · (770) 710-0117
Enumeration DateMay 5, 2014
✔ NPI 1447660113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 064814
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4495 ATLANTA HWY, Loganville, GA 30052
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2103338

Hubbard Pediatric Group · Loganville, GA
Active · expires Oct 8, 2027
CLIA Number11D2103338
Laboratory TypePhysician Office
Certificate Effective DateOctober 9, 2025
Certificate Expiration DateOctober 8, 2027
Laboratory DirectorHolly L. Hubbard
Laboratory Phone(770) 710-0117
Laboratory LocationHubbard Pediatric Group4495 Atlanta Hwy Ste 200, Loganville, GA 30052
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIAN C DEMPSEY O.D.
Optometrist
4495 ATLANTA HWY, SUITE 300
LOGANVILLE, GA 30052
Gwinnett County (770) 554-3456
DR. ALVIN LEWIS FREY O.D.
Optometrist
4495 ATLANTA HWY, SUITE 300
LOGANVILLE, GA 30052
Gwinnett County (770) 554-3456
DR. HOLLY LORRAINE HUBBARD MD
Pediatrics
4495 ATLANTA HWY, BUILDING 200
LOGANVILLE, GA 30052
Gwinnett County (770) 710-0117
LOGANVILLE EYECARE, PC
Optometrist
4495 ATLANTA HWY, SUITE 300
LOGANVILLE, GA 30052
Gwinnett County (770) 554-3456

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hubbard Pediatric Group's NPI number?

The NPI number for Hubbard Pediatric Group is 1447660113. It was assigned to this organization in the NPPES registry on May 5, 2014.

Where is Hubbard Pediatric Group located?

Hubbard Pediatric Group is located at 4495 Atlanta Hwy, Loganville, GA 30052. The listed phone number is (770) 710-0117.

What is Hubbard Pediatric Group's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Hubbard Pediatric Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2103338) is associated with this NPI, valid through October 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hubbard Pediatric Group accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Hubbard Pediatric Group as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hubbard Pediatric Group was last updated on May 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.