Salubrious ASC, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

208VP0014X Issued in GA

Legal business name

SALUBRIOUS ASC, LLC

Practice address

240 Heritage Walk
Suite 101
Woodstock, GA 30188-3875

Phone

(770) 516-7880

Fax

(770) 516-7870

NPI assigned

Oct 16, 2013

Organization subpart

No

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

Authorized official

Name

Jeffrey William Rubin, M.D.NPI 1720125131

Title

Owner

Phone

(770) 516-7880

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Listed as

Salubrious ASC LLCCCN 11C0001431

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey W Rubin, MD

  • Interventional Pain Medicine Physician
  • Woodstock, GA
  • NPI 1720125131
  NPD Authorized official
• Marc Joel Kornfield, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Woodstock, GA
  • NPI 1053432401
  NPD (past)

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751932800000",
    "number": "1770911463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 HERITAGE WALK",
            "address_2": "SUITE101",
            "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": {
        "organization_name": "SALUBRIOUS ASC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-16",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-516-7880",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "GA",
            "license": "208VP0014X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000440976Z",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sacred Alignment LLC
• Sage Dental Group of Georgia, LLC
• Natalie Petro Sahbaz, RD, LD, IBCLC
• Victoria Ashley Saladna, LCSW
• Noren Nasruddin Salehani, MMSC., PA-C
• Sam'S East, Inc.
• Sams East Inc
• Samson Pain Center PC
• Myrna Christina Sanchez-Grew, MD
• Crystal Ann Sanchez, BA

• Ambulatory Surgical Clinic/Center in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Ambulatory Surgical Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.