Individual provider Active NPI

Nasira Rubina, M.D.

  • Child & Adolescent Psychiatry Physician
  • Lawrenceville, GA
National Provider Identifier
1780784454
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
056642 Issued in GA
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
638411026BMedicaidGA
648074039AMedicaidGA
638411026AMedicaidGA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120605000318 GA Practitioner - PsychiatryPractitioner - Addiction Medicine 7012917057 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
056642GAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Rivers CSB CurrentSince Mar 13, 2012 Accepting new patients
Highland Rivers CSB CurrentSince Mar 13, 2012 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.

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

Verify at the official NPI Registry.