Individual provider Active NPI

David S Rabin, M.D.

  • Gastroenterology Physician
  • Conyers, GA
National Provider Identifier
1861654840
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
072088 Issued in GA
Practice address
1501 Milstead Rd NE
Ste 120
Conyers, GA 30012-3838
Phone
(678) 745-3033
Fax
(678) 745-3034
NPI assigned
Jun 30, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 4301098706 MI
Gastroenterology Physician 207RG0100X 072088 GA Primary

Addresses

Primary practice location

1501 Milstead Rd NE
Ste 120
Conyers, GA 30012-3838

Mailing address

1501 Milstead Rd NE
Ste 120
Conyers, GA 30012-3838
Phone (678) 745-3033

Other identifiers 3

IdentifierTypeStateIssuer
003147268CMedicaidGA
003147268AMedicaidGA
003147268EMedicaidGA

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
I20140821002077 GA Practitioner - Internal MedicinePractitioner - Gastroenterology 5991937799 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
Albert Einstein College of Medicine of Yeshiva University, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aga Clinical Services, LLCGroup PAC ID 7719273838, 35 clinicians
Aga, LLCGroup PAC ID 2365431350, 138 clinicians

Practice addresses (Care Compare)

150 N Park TRL
Suite B
Stockbridge, GA 30281-7372
Phone (855) 841-1337

1501 Milstead Rd NE
Suite 120
Conyers, GA 30012-3849
Phone (678) 745-3033

218 Hospital Dr
Suite C
Blairsville, GA 30512-3143
Phone (855) 841-1337

34 Upper Riverdale Rd SE
Suite 201
Riverdale, GA 30274-2635
Phone (678) 904-0094

550 Peachtree St NE
Suite 1600
Atlanta, GA 30308-2246
Phone (855) 841-1337

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.05 of 100Reported as group
Quality
39.8
Promoting interoperability
98
Improvement activities
40
Cost
82.02

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy75
Upper gastrointestinal (GI) endoscopy for acid reflux98
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aga Clinical Services, LLC Gastroenterology CurrentSince Oct 1, 2016 Accepting new patients
City of Hope Medical Group of Georgia LLC Internal Medicine CurrentSince Aug 6, 2018 Accepting new patients
Aga Professional Services, LLC Gastroenterology CurrentSince Aug 1, 2014 Accepting new patients
Aga, LLC Gastroenterology CurrentSince Aug 1, 2014 Accepting new patients
Panola Endoscopy Center LLC Past Accepting new patients

Locations

218 Hospital Dr
#C
Blairsville, GA 30512
Phone (706) 400-5668

1501 Milstead Rd NE
Ste 120
Conyers, GA 30012
Phone (678) 745-3033

488 Kennesaw Ave NW
Ste 200
Marietta, GA 30060
Phone (770) 427-3075

2520 Windy Hill Rd SE
Ste 102
Marietta, GA 30067
Phone (770) 612-8165

488 Kennesaw Ave NW
Ste 150
Marietta, GA 30060
Phone (770) 427-3075

2401 Newnan Crossing Blvd E
Ste 110
Newnan, GA 30265
Phone (678) 631-4610

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

34 Upper Riverdale Rd SE
Ste 201
Riverdale, GA 30274
Phone (678) 904-0094

5671 Peachtree Dunwoody Rd
Ste 510
Sandy Springs, GA 30342
Phone (404) 350-0665

150 N Park Trl
#B
Stockbridge, GA 30281
Phone (770) 507-0909

62742 Collections Ctr Dr
Chicago, IL 60693

Interoperability endpoints

  • Direct secure messaging: david.rabin@ud.eclinicaldirectplus.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/d88010de-d791-42d4-b72d-513f9afc5ed1/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1861654840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 MILSTEAD RD NE",
            "address_2": "STE 120",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123838",
            "telephone_number": "678-745-3033",
            "fax_number": "678-745-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 MILSTEAD RD NE",
            "address_2": "STE 120",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123838",
            "telephone_number": "678-745-3033",
            "fax_number": "678-745-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABIN",
        "first_name": "DAVID",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301098706",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "072088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003147268C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003147268A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003147268E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

Verify at the official NPI Registry.