SALUBRIOUS ASC, LLC
NPI 1770911463
Clinic/Center - Ambulatory Surgical in Woodstock, GA

Active since October 16, 2013CLIA 11D2069117 · Waiver
240 HERITAGE WALK, SUITE 101, WOODSTOCK, GA 30188(770) 516-7880(770) 516-7870 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Salubrious Asc, Llc NPPES

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

SALUBRIOUS ASC, LLC (NPI 1770911463) is a healthcare organization registered as an ambulatory surgical in Woodstock, Georgia and active in the NPI registry since October 2013. The organization holds a CLIA Waiver certificate valid through November 18, 2027 and lists Jeffrey William Rubin, Owner, as its authorized official.

NPPES Registry Identity

NPI1770911463
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSALUBRIOUS ASC, LLC
Location Address240 HERITAGE WALK, SUITE 101Woodstock, GA 30188-3875
Mailing Address240 Heritage Walk, Suite101Woodstock, GA 30188-3875 · (770) 516-7880 · Fax (770) 516-7870
Fax(770) 516-7870
Organization SubpartNo
Authorized OfficialJeffrey William RubinOwner · (770) 516-7880
Enumeration DateOctober 16, 2013
Last NPPES UpdateJuly 8, 2025
NPPES CertifiedJuly 8, 2025
NPI 1770911463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in GA · 208VP0014X
240 HERITAGE WALK, Woodstock, GA 30188

Other Identifiers 1

Medicaid000440976ZGA

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2069117

Salubrious ASC, LLC · Woodstock, GA
Active · expires Nov 18, 2027
CLIA Number11D2069117
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 19, 2025
Certificate Expiration DateNovember 18, 2027
Laboratory DirectorMr. Jeffrey N. Rubin
Laboratory Phone(770) 516-7880
Laboratory LocationSalubrious ASC, LLC240 Heritage Walk, Suite 101 B, Woodstock, GA 30188
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 8

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 procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260
This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.
97 services34 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
75 services22 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
71 services34 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
62 services44 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
59 services33 patients
Injection of upper or middle spine facet joint using imaging guidance, single level 64490
This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.
53 services16 patients

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Pain)
240 HERITAGE WALK, SUITE 101
WOODSTOCK, GA 30188
Pain Medicine (Interventional Pain Medicine)
240 HERITAGE WALK, SUITE 101
WOODSTOCK, GA 30188

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 Salubrious ASC, LLC's NPI number?

The NPI number for Salubrious ASC, LLC is 1770911463. It was assigned to this organization in the NPPES registry on October 16, 2013.

Where is Salubrious ASC, LLC located?

Salubrious ASC, LLC is located at 240 Heritage Walk Suite 101, Woodstock, GA 30188. The listed phone number is (770) 516-7880.

What is Salubrious ASC, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Salubrious ASC, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2069117) is associated with this NPI, valid through November 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Salubrious ASC, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Salubrious ASC, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Salubrious ASC, LLC was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.