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HUGHSTON CLINIC SOUTHEAST PC
NPI 1508387697
Durable Medical Equipment & Medical Supplies in Lawrenceville, GA

Active since June 29, 2017
631 PROFESSIONAL DR STE 170, LAWRENCEVILLE, GA 30046(678) 312-2663(770) 962-8587 Get Directions Write a Review

NPPES record last updated: August 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 18, 2023, Oct 25, 2018, Jun 29, 2017 (3 updates tracked since 2017).

About Hughston Clinic Southeast Pc NPPES

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

HUGHSTON CLINIC SOUTHEAST PC (NPI 1508387697) is a healthcare organization registered as a durable medical equipment & medical supplies in Lawrenceville, Georgia and active in the NPI registry since June 2017. The organization lists Amanda Fromkin, Director Of Credentialing, as its authorized official.

NPPES Registry Identity

NPI1508387697
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameHUGHSTON CLINIC SOUTHEAST PC
Location Address631 PROFESSIONAL DR STE 170Lawrenceville, GA 30046-3392
Mailing Address6262 Veterans PkwyColumbus, GA 31909-3540 · (706) 494-3071 · Fax (706) 494-3008
Phone(678) 312-2663
Fax(770) 962-8587
Organization SubpartNo
Authorized OfficialAmanda FromkinDirector Of Credentialing · (706) 494-3071
Enumeration DateJune 29, 2017
Last NPPES UpdateAugust 18, 20233 updates tracked since enumeration
NPPES CertifiedAugust 18, 2023
✔ NPI 1508387697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
631 PROFESSIONAL DR STE 170, Lawrenceville, GA 30046
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Other Providers at the Same Location NPPES 8

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

CASSIDY ROSE HEFLIN PA
Physician Assistant
631 PROFESSIONAL DR STE 170
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-2663
JACQUELINE M RICE PA
Physician Assistant (Surgical)
631 PROFESSIONAL DR STE 170
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-2663
KATELYN STEELE PA-C
Physician Assistant (Surgical)
631 PROFESSIONAL DR STE 170
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-2663
MS. AMY MAURA CUNHA PA-C
Physician Assistant (Surgical)
631 PROFESSIONAL DR STE 170
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-2663
RAHUL KAPOOR PA
Physician Assistant (Surgical)
631 PROFESSIONAL DR STE 170
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-2663
MR. JERRY U. MERCEDAT PA-C
Physician Assistant
631 PROFESSIONAL DR STE 170
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-2663
WILLIAM MIN MD
Orthopaedic Surgery (Orthopaedic Trauma)
631 PROFESSIONAL DR STE 170
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-2663
JESSICA LAURYN BAUM PA-C
Physician Assistant
631 PROFESSIONAL DR STE 170
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 612-2663

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 Hughston Clinic Southeast PC's NPI number?

The NPI number for Hughston Clinic Southeast PC is 1508387697. It was assigned to this organization in the NPPES registry on June 29, 2017.

Where is Hughston Clinic Southeast PC located?

Hughston Clinic Southeast PC is located at 631 Professional Dr Ste 170, Lawrenceville, GA 30046. The listed phone number is (678) 312-2663.

What is Hughston Clinic Southeast PC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Hughston Clinic Southeast PC was last updated on August 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.