Active NPI
Satoya Dubose
- Family Nurse Practitioner
- Laurinburg, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5007966
- Practice address
- 1707 Berwick Dr Ste a
Laurinburg, NC 28352-5543 - Phone
- (910) 276-2439
- NPI assigned
- Sep 15, 2015
- Last updated
- Feb 5, 2018
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5007966 | NC | Primary |
Addresses
Primary practice location
1707 Berwick Dr Ste a
Laurinburg, NC 28352-5543
Mailing address
5351 Terry Rd
Clio, SC 29525-4235
Phone (864) 710-0351
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306214820 | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2658 Stonekey BND
Lithonia, GA 30058-4121
5885 Allison St
Unit 1003
Arvada, CO 80001-2601
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5007966 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Restore First Health Marietta LLC | Current | Accepting new patients | |
| Restore First Health Riverdale LLC | Current | Accepting new patients | |
| Duluth Regenerative and Joint Institute LLC | Current | Accepting new patients | |
| Preferred Healthcare LLC | Current | Accepting new patients | |
| DC Care PLLC | Family | Current | Accepting new patients |
| Prime Regen Decatur | Current | Accepting new patients |
Locations
2680 Lawrenceville Hwy
Ste 101
Decatur, GA 30033
Phone (470) 292-3820
3851 Postal Dr
Ste 200
Duluth, GA 30096
Phone (404) 919-5708
10680 Medlock Bridge Rd
Ste 204
Johns Creek, GA 30097
Phone (470) 292-3820
2550 Windy Hill Rd SE
Ste 115
Marietta, GA 30067
Phone (678) 580-2684
34 Upper Riverdale Rd SE
Ste 101
Riverdale, GA 30274
Phone (470) 292-3820
Organizations & group practices 6
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.
-
dba Restore First Health
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- NPI 1609428325
-
- Wound Care Registered Nurse
- Duluth, GA
- NPI 1639884117
-
- Rheumatology Physician
- Decatur, GA
- NPI 1811668593
-
- Family Medicine Physician
- Marietta, GA
- NPI 1487378071
-
- Rheumatology Physician
- Riverdale, GA
- NPI 1497439509
-
- Family Nurse Practitioner
- Washington, DC
- NPI 1689329435
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517788800000",
"number": "1306214820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5351 TERRY RD",
"city": "CLIO",
"state": "SC",
"postal_code": "295254235",
"telephone_number": "864-710-0351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1707 BERWICK DR STE A",
"city": "LAURINBURG",
"state": "NC",
"postal_code": "283525543",
"telephone_number": "910-276-2439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBOSE",
"first_name": "SATOYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-15",
"last_updated": "2018-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5007966",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1306214820",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laurinburg, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.