David Dewayne Dubose, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

003423 Issued in GA

Practice address

590 Cascade Ave SW
Ste 400
Atlanta, GA 30310-2467

Phone

(404) 758-8373

Fax

(404) 758-8372

NPI assigned

Dec 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EJHDAD/Endpoint/EJHDAD

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225190507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 SILVERTOP DR",
            "city": "GRAYSON",
            "state": "GA",
            "postal_code": "300174101",
            "telephone_number": "404-918-0803",
            "fax_number": "770-733-1734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 CASCADE AVE SW",
            "address_2": "STE 400",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303102467",
            "telephone_number": "404-758-8373",
            "fax_number": "404-758-8372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOSE",
        "first_name": "DAVID",
        "middle_name": "DEWAYNE",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "003423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wayne J. Dubner, DPM
• Jennifer Dubois, LMSW
• Merle D Dubois
• Alicia Duboise, LPN
• Traci Elmore Dubon, LMSW
• Jasmine D Dubose
• Daniel William Dubovsky, MB CHB, FCP ( SA )
• Katelyn Dubroc, CNIM
• Marie Ducey
• Molly Ducey, CCC-SLP

• Medical Physician Assistant in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.