Individual provider Active NPI

Rubina Sial, M.D.

  • Psychiatry Physician
  • Athens, GA
National Provider Identifier
1023345162
Registry record updated Jun 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
063600 Issued in GA
Practice address
330 Research Dr
Suite 210
Athens, GA 30605-2750
Phone
(706) 202-6563
Fax
(888) 334-4283
NPI assigned
Nov 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 063600 GA Primary
Addiction Psychiatry Physician 2084P0802X 063600 GA

Addresses

Primary practice location

330 Research Dr
Suite 210
Athens, GA 30605-2750

Mailing address

330 Research Dr
Suite 210
Athens, GA 30605-2750
Phone (706) 202-6563

Other names 1

  • Rubina Malik Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210809002276 MI Practitioner - Psychiatry 7315080207 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cobb Psychiatric Care, LLC CurrentSince Nov 13, 2016 Accepting new patients
Advantage Behavioral Health Systems PastSince Nov 4, 2009 Accepting new patients
Project Family LLC Past Accepting new patients

Locations

7316 Spout Springs Rd
Ste 202
Flowery Branch, GA 30542
Phone (770) 910-9196

311 Gwinnett Dr
Lawrenceville, GA 30046
Phone (770) 770-9196

Interoperability endpoints

  • Direct secure messaging: rubina.sial@advantage.gadirect.net

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401753600000",
    "number": "1023345162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 RESEARCH DR",
            "address_2": "SUITE 210",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306052750",
            "telephone_number": "706-202-6563",
            "fax_number": "888-334-4283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 RESEARCH DR",
            "address_2": "SUITE 210",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306052750",
            "telephone_number": "706-202-6563",
            "fax_number": "888-334-4283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIAL",
        "first_name": "RUBINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-11",
        "last_updated": "2014-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "063600",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "GA",
            "license": "063600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUBINA",
            "last_name": "MALIK",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.