Polina Rubin, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10368 Issued in GA

Practice address

5670 Peachtree Dunwoody Rd Ste 1280
Atlanta, GA 30342-4792

Phone

(404) 257-1589

Fax

(404) 303-1950

NPI assigned

Nov 6, 2013

Last updated

Jul 12, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Emergency Physician Solutions of South Florida, LLC

  • Emergency Medicine Physician
  • Atlantis, FL
  • NPI 1609298181

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1942639307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5670 PEACHTREE DUNWOODY RD STE 1280",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424792",
            "telephone_number": "404-257-1589",
            "fax_number": "404-303-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5670 PEACHTREE DUNWOODY RD STE 1280",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424792",
            "telephone_number": "404-257-1589",
            "fax_number": "404-303-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "POLINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-06",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9109212",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "10368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Harvey Rubin
• Jessica Renee Rubin, MD
• Kasi Ann Rubin, BCBA, LBA
• Katherine Florence Rubin, MD
• Nicole Rubin, MS, LPC
• Raymond A Rubin, M.D.
• Roy M Rubin, M.D.
• Whitney Gabrielle Rubin
• Emily Kate Rubio, PHD, BCBA
• Shadia Rubio, APRN

• Physician Assistant in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.