Samuel B Cobarrubias MD, PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

1002 Issued in GA

Legal business name

SAMUEL B COBARRUBIAS MD, PC

Practice address

180 Carswell St
Homerville, GA 31634-2413

Phone

(912) 487-1654

NPI assigned

Aug 23, 2010

Last updated

Aug 23, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Cobarrubias, MDNPI 1801855986

Title

President

Phone

(912) 487-1654

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

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

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samuel Cobarrubias, M.D.

  • Internal Medicine Physician
  • Homerville, GA
  • NPI 1801855986
  Medicare reassignment Care Compare group NPD Authorized official
• Betsy Daugharty Clifton, FNP-C

  • Family Nurse Practitioner
  • Homerville, GA
  • NPI 1063961522
  Medicare reassignment Care Compare group NPD
• Daniel Ospina

  • Internal Medicine Physician
  • Homerville, GA
  • NPI 1861194565
  NPD (past)

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

{
    "created_epoch": "1282521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282521600000",
    "number": "1336455823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28",
            "city": "HOMERVILLE",
            "state": "GA",
            "postal_code": "316340028",
            "telephone_number": "912-487-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 CARSWELL ST",
            "city": "HOMERVILLE",
            "state": "GA",
            "postal_code": "316342413",
            "telephone_number": "912-487-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL B COBARRUBIAS MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-23",
        "last_updated": "2010-08-23",
        "status": "A",
        "authorized_official_last_name": "COBARRUBIAS",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-487-1654",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "1002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Ospina
• Ann Plummer
• Victor Powell, PHARMD
• Victor Lawrence Proctor, RN
• Roger W Huelsnitz MD PC
• Charles Semones, M.D.
• Shannon D Smith D. C P.C (Smith Family Chiropractic)
• Shuman Healthcare of Homerville
• Stephanie Rena Sloan, PHARMD
• Anita H Smith, CPHT

• Primary Care Clinic/Center in Homerville, GA
• Providers in Homerville, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.