Active NPI
David I Lubin, MD
- Emergency Medicine Physician
- Gainesville, GA
National Provider Identifier
1962479782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 032425
- Practice address
- 743 Spring St NE
Gainesville, GA 30501-3715 - Phone
- (770) 536-2146
- Fax
- (770) 536-7895
- NPI assigned
- Mar 1, 2006
- Last updated
- Mar 18, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 032425 | GA | Primary |
Addresses
Primary practice location
743 Spring St NE
Gainesville, GA 30501-3715
Mailing address
712 Calhoun Rd
Dahlonega, GA 30533-5425
Phone (706) 344-7817
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000408317N | Other | GA | MEDICAID URGENT CARE FRIENDSHIP |
| 511I930014 | Other | GA | MEDICARE PIN URGENT CARE FRIENDSHIP |
| 000408317I | Medicaid | GA | |
| 000408317J | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032425 | GA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Chestatee Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| Georgia Emergency Department Services, P.C. | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 3
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 Medicine Physician
- Dahlonega, GA
- NPI 1366474777
-
- Emergency Medicine Physician
- Demorest, GA
- NPI 1194776914
-
- Emergency Medicine Physician
- Gainesville, GA
- NPI 1508886912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237334400000",
"number": "1962479782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 CALHOUN RD",
"city": "DAHLONEGA",
"state": "GA",
"postal_code": "305335425",
"telephone_number": "706-344-7817",
"fax_number": "706-867-1613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "743 SPRING ST NE",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013715",
"telephone_number": "770-536-2146",
"fax_number": "770-536-7895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUBIN",
"first_name": "DAVID",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-01",
"last_updated": "2009-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "032425",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID URGENT CARE FRIENDSHIP",
"identifier": "000408317N",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN URGENT CARE FRIENDSHIP",
"identifier": "511I930014",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000408317I",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000408317J",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.