P Praxis·MD
● Active Type 1 · Individual

DR. Holly Lorraine Hubbard, MD

Pediatrics·Loganville, GA· NPI 1861643397 · Enumerated 2008 · 17 years on NPI
Hubbard is 1 of 8 pediatrics providers in Loganville and 1 of 2726 in Georgia.
NPI age
17 years
Enumerated 2008-10-02
Primary specialty
Pediatrics
Plus 1 subspecialty
Licensed in
GA, VA
2 states
Status
Active
No deactivations on record
Last NPPES update
2014-07-09
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 2726 active pediatrics providers in Georgia.

NPI age
17 years
≈ at median (18 yr)
State licenses
2 states
Top 89% — 10% of peers are multi-state
Subspecialties
0
23% of peers hold subspecialties

NPI lifetime · 2008 → 2026

2008-10Enumerated in NPPES
2008 2026

Where they practice

Practice location
4495 Atlanta Hwy, Building 200
Loganville, GA 300526736
📞 7707100117fax 4702234229
Mailing address
4495 Atlanta Hwy, Suite 200
Loganville, GA 300526736
📞 7707100117fax 4702234229

Specialties

  • Pediatrics Primary
    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...
    GA license #64814VA license #0101246331 taxonomy 208000000X

Identifiers

TypeValueNotes
05 (GA) 00304545D
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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