TRACY D BLAND DUBOSE MD
NPI 1952395535
Obstetrics & Gynecology in Lithonia, GA

Active since September 09, 2005PECOS EnrolledAccepts Medicare Assignment
5440 HILLANDALE DR, DEPARTMENT OF OB GYN, LITHONIA, GA 30058(770) 322-2716(770) 322-3244 Get Directions Write a Review

NPPES record last updated: January 13, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tracy D Bland Dubose Md NPPES

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

TRACY D BLAND DUBOSE MD (NPI 1952395535) is an individual obstetrics & gynecology provider in Lithonia, Georgia, licensed in Georgia (052865) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1999).

NPPES Registry Identity

NPI1952395535
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameTRACY D BLAND DUBOSECredential: MD
Location Address5440 HILLANDALE DR, DEPARTMENT OF OB GYNLithonia, GA 30058-4865
Mailing Address3495 Piedmont Rd Ne, Nine Piedmont CenterAtlanta, GA 30305-1717 · (404) 364-7000 · Fax (404) 364-4732
Fax(770) 322-3244
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1999
Enumeration DateSeptember 9, 2005
Last NPPES UpdateJanuary 13, 2022
NPI 1952395535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in GA · 052865
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

5440 HILLANDALE DR, Lithonia, GA 30058

Other Identifiers 2

Other58-1397572GA · Federal Tax Id#
Medicaid994626282AGA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tracy D Bland Dubose Md 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 ID2769560549
PECOS Enrollment IDI20080418000357
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30058 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Family Medicine
5440 HILLANDALE DR, KAISER PERMANENTE PANOLA MEDICAL CENTER
LITHONIA, GA 30058
Pharmacist
5440 HILLANDALE DR
LITHONIA, GA 30058
Dietitian, Registered
5440 HILLANDALE DR
LITHONIA, GA 30058
Nurse Practitioner (Family)
5440 HILLANDALE DR
LITHONIA, GA 30058
Student in an Organized Health Care Education/Training Program
5440 HILLANDALE DR
LITHONIA, GA 30058
Nurse Practitioner (Obstetrics & Gynecology)
5440 HILLANDALE DR
LITHONIA, GA 30058
Obstetrics & Gynecology
5440 HILLANDALE DR, DEPARTMENT OF OBSTETRICS & GYNECOLOGY
LITHONIA, GA 30058
Pediatrics
5440 HILLANDALE DR, PEDIATRICS HEALTH CARE TEAM A
LITHONIA, GA 30058

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 Tracy Bland Dubose's NPI number?

The NPI number for Tracy Bland Dubose is 1952395535. It was assigned to this individual provider in the NPPES registry on September 9, 2005.

Where is Tracy Bland Dubose located?

Tracy Bland Dubose practices at 5440 Hillandale Dr Department Of Ob Gyn, Lithonia, GA 30058. The listed phone number is (770) 322-2716.

What is Tracy Bland Dubose's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Tracy Bland Dubose enrolled in Medicare?

Yes. Tracy Bland Dubose 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.

When was this NPI record last updated?

The NPPES record for Tracy Bland Dubose was last updated on January 13, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.