Active NPI
Angela Ward Cubin, CSA
- Surgical Physician Assistant
- Fayetteville, GA
National Provider Identifier
1073656732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 863812372 | Other | GA | N/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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| At Your Assistance, LLC | Surgical Assistant | Current | 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.
-
- Surgical Physician Assistant
- Fayetteville, GA
- NPI 1255907259
Surgical Assistant
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.