Individual provider Active NPI

Melissa Rubio, PA-C

  • Medical Physician Assistant
  • Stone Mountain, GA
National Provider Identifier
1437934171
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
5582 Memorial Dr
Stone Mountain, GA 30083-3215
Phone
(404) 298-8998
NPI assigned
Aug 30, 2023
Last updated
Mar 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X GA Primary

Addresses

Primary practice location

5582 Memorial Dr
Stone Mountain, GA 30083-3215

Mailing address

2175 American Way Apt 134
Chamblee, GA 30341-2466
Phone (404) 727-7825

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250408002469 GA Practitioner - Physician Assistant 7719401009 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
13008GAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medcura Health, Inc. CurrentSince Apr 3, 2025 Accepting new patients
Medcura Health, Inc. CurrentSince Apr 3, 2025 Accepting new patients
Medcura Health, Inc. Past Accepting new patients
Medcura Health, Inc. Multi-Specialty Past Accepting new patients

Locations

5582 Memorial Dr
Stone Mountain, GA 30083
Phone (404) 298-7658

770 Village Square Dr
Stone Mtn, GA 30083
Phone (404) 298-7658

Interoperability endpoints

  • Direct secure messaging: melissa.rubio.1@9679.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1437934171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2175 AMERICAN WAY APT 134",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303412466",
            "telephone_number": "404-727-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5582 MEMORIAL DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833215",
            "telephone_number": "404-298-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIO",
        "first_name": "MELISSA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-30",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

Verify at the official NPI Registry.