Individual provider Active NPI

Cynthia Ellen Dubin, CNM, FNP

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1730280470
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN129528 Issued in GA
Practice address
80 Jesse Hill Jr Dr SE # 26105
Grady Health System, GYN/OB Clinic
Atlanta, GA 30303-3031
Phone
(404) 616-4898
Fax
(404) 616-2904
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN129528 GA Primary
Advanced Practice Midwife 367A00000X RN129528 GA

Addresses

Primary practice location

80 Jesse Hill Jr Dr SE # 26105
Grady Health System, GYN/OB Clinic
Atlanta, GA 30303-3031

Mailing address

69 Jesse Hill Jr Dr SE
Emory University, GYN/OB Department, 4TH Floor
Atlanta, GA 30303-3033
Phone (404) 616-4898

Other identifiers 4

IdentifierTypeStateIssuer
RN129528OtherGARN LICENSE-CNM
00912832AMedicaidGA
0360295OtherFNP CERT. 9/2006-8/2011
10265OtherACNM CERTIFICATION NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN129528GAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1730280470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 JESSE HILL JR DR SE",
            "address_2": "EMORY UNIVERSITY, GYN/OB DEPARTMENT, 4TH FLOOR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033033",
            "telephone_number": "404-616-4898",
            "fax_number": "404-616-2094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 JESSE HILL JR DR SE # 26105",
            "address_2": "GRADY HEALTH SYSTEM, GYN/OB CLINIC",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033031",
            "telephone_number": "404-616-4898",
            "fax_number": "404-616-2904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBIN",
        "first_name": "CYNTHIA",
        "middle_name": "ELLEN",
        "credential": "CNM, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN129528",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "GA",
            "license": "RN129528",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE-CNM",
            "identifier": "RN129528",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00912832A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP CERT. 9/2006-8/2011",
            "identifier": "0360295",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACNM CERTIFICATION NUMBER",
            "identifier": "10265",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.