Active NPI
Robert Allan Cibiras, PA-C
- Physician Assistant
- Blakely, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 007212
- Practice address
- 11740 Columbia St
Blakely, GA 39823-2574 - Phone
- (229) 724-4282
- Fax
- (229) 724-4283
- NPI assigned
- Oct 22, 2007
- Last updated
- Oct 11, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 007212 | GA | Primary |
| Medical Physician Assistant | 363AM0700X | PA9101120 | FL | |
| Medical Physician Assistant | 363AM0700X | 3801 | AZ | |
| Medical Physician Assistant | 363AM0700X | PA251 | AL |
Addresses
Primary practice location
11740 Columbia St
Blakely, GA 39823-2574
Mailing address
11740 Columbia St
Blakely, GA 39823-2574
Phone (229) 724-4282
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3801 | AZ | MD | Hand Physical Therapist |
| PA251 | AL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nes Tennessee Inc | Current | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients | |
| Lifebrite Hospital Group of Early LLC | Past | Accepting new patients | |
| Lifebrite Hospital Group of Early LLC | Past | Accepting new patients | |
| Stabler Clinic, P.C. | Past | Accepting new patients | |
| Southwest Emergency Physicians, PLLC | Past | Accepting new patients |
Locations
29 L V Stabler Dr
Greenville, AL 36037
Phone (334) 382-2676
1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000
315 W Hickory St
Sylacauga, AL 35150
Phone (256) 249-5000
7300 State Highway 121
Ste 370374
McKinney, TX 75070
Interoperability endpoints
- https://api.platform.athenahealth.com/1605/brand/1/csg/26/fhir/r4
Organizations & group practices 9
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.
-
- Emergency Medicine Physician
- Moultrie, GA
- NPI 1902211642
-
- Emergency Medicine Physician
- Montgomery, AL
- NPI 1437606605
-
dba Regional Medical Center Providers
- Hospitalist Physician
- Greenville, AL
- NPI 1275184848
-
- Emergency Medicine Physician
- Monroeville, AL
- NPI 1013519230
-
dba Memorial Hospital and Manor
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
-
dba Early Emergency Care
- Emergency Care Clinic/Center
- Blakely, GA
- NPI 1194258129
-
dba LifeBrite Community Hospital of Early
- Critical Access Hospital
- Blakely, GA
- NPI 1598297590
-
- Emergency Medicine Physician
- Yuma, AZ
- NPI 1992732259
-
- Pediatrics Physician
- Greenville, AL
- NPI 1730181819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728604800000",
"number": "1740479104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11740 COLUMBIA ST",
"city": "BLAKELY",
"state": "GA",
"postal_code": "398232574",
"telephone_number": "229-724-4282",
"fax_number": "229-724-4283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11740 COLUMBIA ST",
"city": "BLAKELY",
"state": "GA",
"postal_code": "398232574",
"telephone_number": "229-724-4282",
"fax_number": "229-724-4283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIBIRAS",
"first_name": "ROBERT",
"middle_name": "ALLAN",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-22",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "007212",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9101120",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AZ",
"license": "3801",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AL",
"license": "PA251",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blakely, GA
- Kay Newberry Brooks, L.P.C.
- Leigh Ford Bruner, PHARM. D.
- Calhoun County Dept of Family & Children Services
- Lakeisha Cannon-Scott, APRN, PMHNP
- Careplus Medical Services LLC
- Glendell B. Coleman, FNP-C
- Melissa Bonner Conner
- Missy Maleigh Cox, NP
- Whitney Alexander Crawford, PHARM D
- Department of Family and Children Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.