Samuel Cobarrubias, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

045748 Issued in GA

Practice address

180 Carswell St
Homerville, GA 31634-2413

Phone

(912) 487-1654

Fax

(912) 487-1659

NPI assigned

Mar 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Samuel B Cobarrubias MD, PCGroup PAC ID 3072639863, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Homerville, GA, CCN 117073
• Clinch Memorial Hospital Hospital, Homerville, GA, CCN 111308
• SGMC Health Hospital, Valdosta, GA, CCN 110122
• SGMC Health Lanier Hospital, Lakeland, GA, CCN 111326

Merit-based Incentive Payment System (MIPS)

Final score

94.19 of 100Reported as group

Quality

96.63

Improvement activities

40

Cost

76.5

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GJHBBD
• Direct secure messaging: scobarrubi@yourcarecommunity.org

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.

• Samuel B Cobarrubias MD, PC

  • Primary Care Clinic/Center
  • Homerville, GA
  • NPI 1336455823
  Medicare reassignment Care Compare group NPD Authorized official
• Thrive Medical Care, LLC

  • Internal Medicine Physician
  • Homerville, GA
  • NPI 1629994652
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Centerwell Health Services USA LLC

  dba CenterWell Home Health

  • Home Health Agency
  • Homerville, GA
  • NPI 1558343145
  Care Compare affiliation
• Clinch County Hospital Authority

  • Critical Access Hospital
  • Homerville, GA
  • NPI 1861478851
  Care Compare affiliation
• South Georgia Medical Center Inc

  dba SGMC Health

  • General Acute Care Hospital
  • Valdosta, GA
  • NPI 1144096553
  Care Compare affiliation
• South Georgia Medical Center Inc

  dba SGMC Health Lanier

  • Critical Access Hospital
  • Lakeland, GA
  • NPI 1215703632
  Care Compare affiliation

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

{
    "created_epoch": "1142640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430524800000",
    "number": "1801855986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28",
            "city": "HOMERVILLE",
            "state": "GA",
            "postal_code": "316340028",
            "telephone_number": "912-487-1654",
            "fax_number": "912-487-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 CARSWELL ST",
            "city": "HOMERVILLE",
            "state": "GA",
            "postal_code": "316342413",
            "telephone_number": "912-487-1654",
            "fax_number": "912-487-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBARRUBIAS",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-18",
        "last_updated": "2015-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "045748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000808519A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clinch County Hospital Authority
• Clinch CS
• Clinch Healthcare LLC (Clinch HealthCare)
• Clinch Healthcare, LLC (Clinch Healthcare Center)
• Clinch Medical Practice
• Dva Renal Healthcare Inc (Homerville Dialysis)
• Mark S Faulk, RPH
• Lynn Fletcher, APRN
• Golden Isles Chiropractic
• Georgia Griffis, PA

• Internal Medicine Physician in Homerville, GA
• Providers in Homerville, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2015; 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.
• 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.