Individual provider Active NPI

Angela Ward Cubin, CSA

  • Surgical Physician Assistant
  • Fayetteville, GA
National Provider Identifier
1073656732
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
1265 Highway 54 W Ste 103
Fayetteville, GA 30214-4537
Phone
(470) 514-5538
Fax
(470) 514-5561
NPI assigned
Feb 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X Primary

Addresses

Primary practice location

1265 Highway 54 W Ste 103
Fayetteville, GA 30214-4537

Mailing address

PO Box 301
Alpharetta, GA 30009-0301
Phone (470) 514-5538

Other practice location 1

3520 Muirfield Dr
Milton, GA 30004-4492
Phone (470) 514-5538

Other identifiers 1

IdentifierTypeStateIssuer
863812372OtherGAN/A

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
At Your Assistance, LLC Surgical Assistant CurrentSince Jun 6, 2021 Accepting new patients

Locations

1265 Highway 54 W
Ste 103
Fayetteville, GA 30214
Phone (678) 216-0771

7813 Spivey Station Blvd
Jonesboro, GA 30236
Phone (404) 251-2270

Organizations & group practices 1

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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1073656732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 301",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300090301",
            "telephone_number": "470-514-5538",
            "fax_number": "470-514-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 HIGHWAY 54 W STE 103",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144537",
            "telephone_number": "470-514-5538",
            "fax_number": "470-514-5561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3520 Muirfield Dr",
            "address_purpose": "LOCATION",
            "city": "Milton",
            "state": "GA",
            "postal_code": "300044492",
            "country_code": "US",
            "telephone_number": "470-514-5538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUBIN",
        "first_name": "ANGELA",
        "middle_name": "WARD",
        "name_prefix": "Ms.",
        "credential": "CSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2026-02-12",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "863812372",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.