Individual provider Active NPI

Shadia Rubio, APRN

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1063983773
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
GAANP000019 Issued in GA
Practice address
2292 Peachtree Rd NW
Atlanta, GA 30309-1147
Phone
(404) 996-0120
NPI assigned
Dec 7, 2018
Last updated
Jul 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN9331226 FL
Family Nurse Practitioner 363LF0000X GAANP000019 GA Primary

Addresses

Primary practice location

2292 Peachtree Rd NW
Atlanta, GA 30309-1147

Mailing address

13277 NW 10TH St
Miami, FL 33182-2238
Phone (786) 285-0320

Other identifiers 1

IdentifierTypeStateIssuer
APRN9331226OtherFLAPRN LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191021002282 FL Practitioner - Nurse Practitioner 4587996798 Reassigns benefits to 1 organization
I20210112002569 GA Practitioner - Nurse Practitioner 4587996798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellstreet of Georgia PCGroup PAC ID 7517126279, 425 clinicians

Practice addresses (Care Compare)

2292 Peachtree Rd
Atlanta, GA 30309-1147
Phone (404) 382-9941

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
GAANP000019GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Current Accepting new patients
University of Miami CurrentSince Jan 1, 2020 Accepting new patients
Wellstreet of Georgia PC CurrentSince Dec 7, 2020 Accepting new patients
South Miami Inpatient Physicians CurrentSince Mar 1, 2020 Accepting new patients
Wellstreet of Georgia PC Past Accepting new patients

Locations

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

8932 SW 97th Ave
Miami, FL 33176
Phone (305) 270-3485

601 E Commercial Blvd
Oakland Park, FL 33334
Phone (954) 772-4206

6200 SW 73rd St
#69
South Miami, FL 33143
Phone (786) 662-4000

2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941

3350 Riverwood Pkwy SE
Ste 1850
Atlanta, GA 30339
Phone (770) 809-3036

7725 W Reno Ave
Ste 150
Oklahoma City, OK 73127

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1544140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1063983773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13277 NW 10TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331822238",
            "telephone_number": "786-285-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2292 PEACHTREE RD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091147",
            "telephone_number": "404-996-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIO",
        "first_name": "SHADIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-07",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9331226",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAANP000019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "APRN9331226",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.