Individual provider Active NPI

Gregory Alvin Cumberbatch, MD

  • Neurological Surgery Physician
  • Atlanta, GA
National Provider Identifier
1952552945
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
066772 Issued in GA
Practice address
285 Boulevard NE
Suite 415
Atlanta, GA 30312-4205
Phone
(404) 265-4400
Fax
(404) 265-4452
NPI assigned
Oct 8, 2008
Last updated
Feb 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 066772 GA Primary
Neurological Surgery Physician 207T00000X ME117465 FL

Addresses

Primary practice location

285 Boulevard NE
Suite 415
Atlanta, GA 30312-4205

Mailing address

805 Sandy Plains Road
Medical Staff Services
Marietta, GA 30066-6340

Other practice location 1

2727 W Dr Martin Luther King Jr Blvd Ste 460
Tampa, FL 33607-6001
Phone (813) 879-4328

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address gcumberbatch123273@directwellstar.org
Direct Messaging Address Gregory.CumberbatchMD@direct.mybaycare.org Health Information Exchange (HIE) BayCare Medical Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111005000938 GA Practitioner - Neurosurgery 9537331079 Reassigns benefits to 3 organizations
I20171013000674 FL Practitioner - Neurosurgery 9537331079 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME117465FLMDNeurological Surgery Physician
066772GAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access Telecare, PLLC CurrentSince Apr 13, 2024 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Current Accepting new patients
Sanford Medical Center Fargo CurrentSince Jan 30, 2023 Accepting new patients
University of Florida Jacksonville Physicians Inc Neurological Surgery CurrentSince Oct 1, 2022 Accepting new patients
Halifax Healthcare Systems Inc CurrentSince Nov 1, 2017 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Jul 9, 2023 Accepting new patients
Sanford Medical Center Fargo CurrentSince Jan 30, 2023 Accepting new patients
Piedmont Providers LLC CurrentSince Jan 10, 2023 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Oct 1, 2022 Accepting new patients
AMC Neurosurgical Asociates, LLC Neurological Surgery Current Accepting new patients
Atlanta Medical Center Neurosurgical & Spine Specialists, LLC Neurological Surgery Past Accepting new patients

Locations

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

800 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-2000

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210

285 Boulevard NE
Ste 415
Atlanta, GA 30312
Phone (404) 265-4400

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085

2400 32nd Ave S
Fargo, ND 58103
Phone (701) 234-8800

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

Interoperability endpoints

  • Direct secure messaging: gcumberbatch3072432@direct.trinity-health.org
  • Direct secure messaging: gregory.cumberbatch.p75@direct.tenet.nextgenshare.com
  • Direct secure messaging: gregory.cumberbatchmd@direct.mybaycare.org

Organizations & group practices 11

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": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1952552945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 SANDY PLAINS ROAD",
            "address_2": "MEDICAL STAFF SERVICES",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300666340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 BOULEVARD NE",
            "address_2": "SUITE 415",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303124205",
            "telephone_number": "404-265-4400",
            "fax_number": "404-265-4452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2727 W Dr Martin Luther King Jr Blvd Ste 460",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336076001",
            "country_code": "US",
            "telephone_number": "813-879-4328",
            "fax_number": "813-879-4328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUMBERBATCH",
        "first_name": "GREGORY",
        "middle_name": "ALVIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-08",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "GA",
            "license": "066772",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME117465",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gcumberbatch123273@directwellstar.org",
            "affiliation": "N",
            "address_1": "285 Boulevard NE",
            "address_2": "Suite 415",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303124205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Gregory.CumberbatchMD@direct.mybaycare.org",
            "affiliation": "Y",
            "affiliationName": "BayCare Medical Group, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2995 Drew St Fl 2",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337593012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.