Active NPI
Gregory Alvin Cumberbatch, MD
- Neurological Surgery Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 066772
- 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, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME117465 | FL | MD | Neurological Surgery Physician |
| 066772 | GA | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Telecare, PLLC | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians Inc | Neurological Surgery | Current | Accepting new patients |
| Halifax Healthcare Systems Inc | Current | Accepting new patients | |
| Phoebe Physician Group, Inc | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Piedmont Providers LLC | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Current | 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
- gcumberbatch3072432@direct.trinity-health.org
- gregory.cumberbatch.p75@direct.tenet.nextgenshare.com
- 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.
-
- Clinic/Center
- Albany, GA
- NPI 1487899464
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1548273592
-
dba HHCSI Halifax Family Health Center
- Family Medicine Physician
- Daytona Beach, FL
- NPI 1245283530
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1144276452
-
- Neurological Surgery Physician
- Atlanta, GA
- NPI 1841591724
-
dba Sanford 1717 Medical Building
- Family Medicine Physician
- West Fargo, ND
- NPI 1184917924
-
dba Sanford POWER Center
- General Acute Care Hospital
- Fargo, ND
- NPI 1528009412
-
- Neurological Surgery Physician
- Jacksonville, FL
- NPI 1225298599
-
dba UF Health Imaging Center-Baymeadows
- Physiological Laboratory
- Jacksonville, FL
- NPI 1831800952
-
- Neurological Surgery Physician
- Atlanta, GA
- NPI 1558631408
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.