NPIMap

Individual provider Active NPI

Jeffrey W Rubin, MD

  • Interventional Pain Medicine Physician
  • Woodstock, GA
National Provider Identifier
1720125131
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
030873 Issued in GA
Practice address
240 Heritage Walk
Suite 101
Woodstock, GA 30188-3875
Phone
(770) 516-7880
Fax
(770) 516-7870
NPI assigned
Feb 1, 2007
Last updated
Jul 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 030873 GA
Pain Medicine (Anesthesiology) Physician 207LP2900X 030873 GA
Interventional Pain Medicine Physician 208VP0014X 030873 GA Primary

Addresses

Primary practice location

240 Heritage Walk
Suite 101
Woodstock, GA 30188-3875

Mailing address

240 Heritage Walk
Suite 101
Woodstock, GA 30188-3875
Phone (770) 516-7880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080828000452 GA Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 1850467747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Pennsylvania State University College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Pain Care,P.C.Group PAC ID 1759457641, 3 clinicians

Practice addresses (Care Compare)

240 Heritage Walk
101A
Woodstock, GA 30188-3875
Phone 770516788023

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Pain Care,P.C. CurrentSince May 7, 2008 Accepting new patients
Salubrious ASC, LLC CurrentSince Jan 23, 2015 Accepting new patients
Wellstar Cardiovascular Medicine, LLC Past Accepting new patients
Pain Solutions Treatment Centers Interventional Pain Medicine Past Accepting new patients
Georgia Anesthesiologists, PC Anesthesiology PastSince Sep 1, 2012 Accepting new patients

Locations

49 Gordon Rd
Ste 101
Jasper, GA 30143
Phone (678) 866-3637

3949 S Cobb Dr SE
Smyrna, GA 30080
Phone (770) 434-0710

240 Heritage Walk
#101A
Woodstock, GA 30188
Phone (770) 516-7880

240 Heritage Walk
Ste 101
Woodstock, GA 30188
Phone (770) 516-7880

240 Heritage Walk
Ste 101A
Woodstock, GA 30188

240 Heritage Walk
Ste 101B
Woodstock, GA 30188
Phone (770) 516-7880

Interoperability endpoints

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

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1720125131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 HERITAGE WALK",
            "address_2": "SUITE 101",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883875",
            "telephone_number": "770-516-7880",
            "fax_number": "770-516-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 HERITAGE WALK",
            "address_2": "SUITE 101",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883875",
            "telephone_number": "770-516-7880",
            "fax_number": "770-516-7870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "JEFFREY",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "030873",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "GA",
            "license": "030873",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "030873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

Verify at the official NPI Registry.