Active NPI
Rubina Sial, M.D.
- Psychiatry Physician
- Athens, GA
National Provider Identifier
1023345162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 063600
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cobb Psychiatric Care, LLC | Current | Accepting new patients | |
| Advantage Behavioral Health Systems | Past | 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
- 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.
-
- Community/Behavioral Health Agency
- Port Huron, MI
- NPI 1689783672
-
- General Acute Care Hospital
- Commerce, GA
- NPI 1801166699
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Athens, GA
- NPI 1942270558
-
- Adolescent and Children Mental Health Clinic/Center
- Athens, GA
- NPI 1841505799
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.