PAMELA RUBIO NP
NPI 1114473857
Nurse Practitioner - Family in Athens, GA

Active since September 01, 2016PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
1270 PRINCE AVE, ATHENS, GA 30606(706) 543-5873 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pamela Rubio Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAMELA RUBIO NP (NPI 1114473857) is an individual family provider in Athens, Georgia, licensed in Georgia (APRN-NP175961) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1114473857
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePAMELA RUBIOCredential: NP
Location Address1270 PRINCE AVEAthens, GA 30606
Mailing Address230 Meredith Ridge RdAthens, GA 30605
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 1, 2016
Last NPPES UpdateOctober 29, 2025
NPPES CertifiedOctober 29, 2025
✔ NPI 1114473857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · APRN-NP175961
1270 PRINCE AVE, Athens, GA 30606

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Pamela Rubio Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658627724
PECOS Enrollment IDI20180702003561
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Pamela Rubio reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
3827 JIMMY LEE SMITH PKWY
Hiram, GA 30141
  • Reassigned Medicare billing, Georgia enrollment
  • 551 clinicians in this Medicare group
Urgent Care
1825 HIGHWAY 34 E STE 1200
Newnan, GA 30265
  • Reassigned Medicare billing, Georgia enrollment
  • 380 clinicians in this Medicare group
Nurse Practitioner
424 CHURCH ST STE 220
Nashville, TN 37219
  • Reassigned Medicare billing, Georgia enrollment
  • 274 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
502 services51 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
166 services79 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
130 services122 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
96 services96 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
77 services75 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
67 services62 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30606 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.78
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1270 PRINCE AVE, SUITE 201
ATHENS, GA 30606
Obstetrics & Gynecology (Gynecology)
1270 PRINCE AVE, SUITE 201
ATHENS, GA 30606
Nurse Practitioner (Primary Care)
1270 PRINCE AVE
ATHENS, GA 30606
Student in an Organized Health Care Education/Training Program
1270 PRINCE AVE, SUITE 102
ATHENS, GA 30606
Obstetrics & Gynecology (Gynecology)
1270 PRINCE AVE, SUITE 201
ATHENS, GA 30606
Student in an Organized Health Care Education/Training Program
1270 PRINCE AVE, SUITE 201
ATHENS, GA 30606
Student in an Organized Health Care Education/Training Program
1270 PRINCE AVE, SUITE 201
ATHENS, GA 30606
Specialist
1270 PRINCE AVE, SUITE 102
ATHENS, GA 30606

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pamela Rubio's NPI number?

The NPI number for Pamela Rubio is 1114473857. It was assigned to this individual provider in the NPPES registry on September 1, 2016.

Where is Pamela Rubio located?

Pamela Rubio practices at 1270 Prince Ave, Athens, GA 30606. The listed phone number is (706) 543-5873.

What is Pamela Rubio's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Pamela Rubio enrolled in Medicare?

Yes. Pamela Rubio is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Pamela Rubio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pamela Rubio reassigns Medicare benefits to 3 organizations: Peachtree Immediate Care Fp, LLC (Hiram, GA), Wellstreet Of Georgia PC (Newnan, GA) and Community Care Health Network LLC (Nashville, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pamela Rubio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Pamela Rubio was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.