Individual provider Active NPI

Rekiyat Subair

  • Psychiatric/Mental Health Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1619567575
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN248628 Issued in GA
Practice address
8735 Dunwoody PL Ste N
Atlanta, GA 30350-2995
Phone
(413) 212-0193
NPI assigned
Jan 24, 2021
Last updated
Mar 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10041714 OR
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X RN248628 GA Primary

Addresses

Primary practice location

8735 Dunwoody PL Ste N
Atlanta, GA 30350-2995

Mailing address

987 Trophy Club Ave
Dacula, GA 30019-7585
Phone (413) 212-0193

Other practice location 1

1225 NE 2nd Ave
Portland, OR 97232-2003
Phone (503) 944-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220630001485 GA Practitioner - Nurse Practitioner 3173903614 Reassigns benefits to 1 organization
I20250820002394 OR Practitioner - Nurse Practitioner 3173903614 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1755 Coburg Rd
Unit 301
Eugene, OR 97401-4900

1755 Coburg Rd Unit
Suite 301
Eugene, OR 97401-4900

1919 NW Lovejoy St
Portland, OR 97209-1503

2850 NW 31St Ave
Portland, OR 97210-1720

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN248628GAMDPsychiatric/Mental Health Nurse Practitioner
10041714ORMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Azal Healthcare LLC Multi-Specialty CurrentSince Nov 1, 2025 Accepting new patients
Lgbtq Telepsychiatry Multi-Specialty CurrentSince Jun 6, 2025 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Nov 3, 2025 Accepting new patients
Legacy Emanuel Hospital & Health Center Multi-Specialty CurrentSince Nov 3, 2025 Accepting new patients
Legacy Emanuel Hospital & Health Center Multi-Specialty Current Accepting new patients
Azal Hospice and Palliative LLC Multi-Specialty Current Accepting new patients

Locations

8735 Dunwoody Pl
Ste N
Sandy Springs, GA 30350
Phone (561) 293-3439

1755 Coburg Rd
Unit 301
Eugene, OR 97401
Phone (458) 234-0082

1225 NE 2nd Ave
Portland, OR 97232
Phone (503) 413-5051

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

1309 Coffeen Ave
Ste 1200
Sheridan, WY 82801
Phone (307) 459-2801

Interoperability endpoints

  • Direct secure messaging: rekiyat.subair@raccl-ga.direct.office.nextgen.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1611446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1619567575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "987 TROPHY CLUB AVE",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300197585",
            "telephone_number": "413-212-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8735 DUNWOODY PL STE N",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303502995",
            "telephone_number": "413-212-0193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 NE 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972322003",
            "country_code": "US",
            "telephone_number": "503-944-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUBAIR",
        "first_name": "REKIYAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-24",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10041714",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN248628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.