Active NPI
Nasira Rubina, M.D.
- Child & Adolescent Psychiatry Physician
- Lawrenceville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 056642
- Practice address
- 170 Camden Hill Rd Ste F
Lawrenceville, GA 30046-7418 - Phone
- (678) 226-2295
- Fax
- (678) 226-2296
- NPI assigned
- Sep 23, 2006
- Last updated
- Nov 17, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 056642 | GA | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 056642 | GA | Primary |
Addresses
Primary practice location
170 Camden Hill Rd Ste F
Lawrenceville, GA 30046-7418
Mailing address
170 Camden Hill Rd Ste F
Lawrenceville, GA 30046-7418
Phone (678) 226-2295
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 638411026B | Medicaid | GA | |
| 648074039A | Medicaid | GA | |
| 638411026A | Medicaid | GA |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056642 | GA | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highland Rivers CSB | Current | Accepting new patients | |
| Highland Rivers CSB | Current | Accepting new patients | |
| Highland Rivers Community Service Board | Current | Accepting new patients | |
| Gwinnett Psychiatry, P.C. | Current | Accepting new patients |
Locations
191 Lamar Haley Pkwy
Canton, GA 30114
Phone (770) 704-1600
1401 Applewood Dr
Ste 1
Dalton, GA 30720
Phone (706) 270-5003
1503 N Tibbs Rd
Dalton, GA 30720
Phone (706) 229-4507
170 Camden Hill Rd
Ste F
Lawrenceville, GA 30046
Phone (678) 226-2295
Organizations & group practices 4
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.
-
- Community/Behavioral Health Agency
- Dalton, GA
- NPI 1447256243
-
- Adolescent and Children Mental Health Clinic/Center
- Lawrenceville, GA
- NPI 1720110398
-
dba Highland Rivers Fannin/Gilmer County Office
- Community/Behavioral Health Agency
- Ellijay, GA
- NPI 1083777650
-
dba Highland Rivers Whitfield Treatment Services
- Community/Behavioral Health Agency
- Dalton, GA
- NPI 1164585543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763337600000",
"number": "1780784454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 CAMDEN HILL RD STE F",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300467418",
"telephone_number": "678-226-2295",
"fax_number": "678-226-2296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 CAMDEN HILL RD STE F",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300467418",
"telephone_number": "678-226-2295",
"fax_number": "678-226-2296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBINA",
"first_name": "NASIRA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-23",
"last_updated": "2025-11-17",
"certification_date": "2025-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "056642",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "GA",
"license": "056642",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "638411026B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "648074039A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "638411026A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; 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.