Organization
HUGHSTON MEDICAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLA MCMEANS (SYS DIR OF CREDENTIALING)
(706) 494-3171
Entity
Organization
Contact information
Practice address
1900 10TH AVE STE 211, COLUMBUS, GA 31901-3604
(706) 570-2307
Mailing address
PO BOX 370, FORTSON, GA 31808-0370
(706) 494-3071
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207Y00000X
Otolaryngology Physician
Primary
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
231H00000X
Audiologist
—
—
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Enumeration date
04/01/2019
Last updated
12/11/2025
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