Individual provider Active NPI

Sarah Cubas

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1639803604
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN264609 Issued in GA
Practice address
5667 Peachtree Dunwoody Rd Ste 260
Atlanta, GA 30342-1714
Phone
(404) 255-1030
Fax
(678) 843-6619
NPI assigned
Jul 14, 2022
Last updated
Apr 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN264609 GA
Nurse Practitioner 363L00000X RN264609 GA
Family Nurse Practitioner 363LF0000X RN264609 GA Primary

Addresses

Primary practice location

5667 Peachtree Dunwoody Rd Ste 260
Atlanta, GA 30342-1714

Mailing address

5667 Peachtree Dunwoody Rd Ste 260
Atlanta, GA 30342-1714
Phone (404) 255-1030

Other identifiers 1

IdentifierTypeStateIssuer
003279620AMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address scubas41560@direct.acumenmd.com

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
I20220823003050 GA Practitioner - Nurse Practitioner 1557744554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanta Kidney Care LLCGroup PAC ID 8224339700, 4 clinicians

Practice addresses (Care Compare)

5667 Peachtree Dunwoody Rd
Suite 260
Atlanta, GA 30342-1714
Phone (404) 255-1030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN264609GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Nephrology Associates, P.C. Current Accepting new patients
Atlanta Kidney Care LLC CurrentSince Aug 17, 2022 Accepting new patients

Locations

5667 Peachtree Dunwoody Rd
Ste 260
Sandy Springs, GA 30342
Phone (404) 255-1030

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14360/brand/23/csg/1/fhir/r4

Organizations & group practices 2

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": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1639803604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5667 PEACHTREE DUNWOODY RD STE 260",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421714",
            "telephone_number": "404-255-1030",
            "fax_number": "678-843-6619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5667 PEACHTREE DUNWOODY RD STE 260",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421714",
            "telephone_number": "404-255-1030",
            "fax_number": "678-843-6619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUBAS",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN264609",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN264609",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN264609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003279620A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scubas41560@direct.acumenmd.com",
            "affiliation": "N",
            "address_1": "5667 Peachtree Dunwoody Rd Ste 260",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303421714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.