P Praxis·MD
● Active Type 1 · Individual

MS. Angela Ward Cubin, CSA

Physician Assistant·Fayetteville, GA· NPI 1073656732 · Enumerated 2007 · 19 years on NPI
Cubin is 1 of 7 physician assistant providers in Fayetteville and 1 of 640 in Georgia.
NPI age
19 years
Enumerated 2007-02-14
Primary specialty
Physician Assistant
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2026-02-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 640 active physician assistant providers in Georgia.

NPI age
19 years
↑ 6 yr above median (13 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-02Enumerated in NPPES
2007 2026

Where they practice

Practice location
1265 Highway 54 W Ste 103
Fayetteville, GA 302144537
📞 4705145538fax 4705145561
Mailing address
Po Box 301
Alpharetta, GA 300090301
📞 4705145538fax 4705145561

Additional practice locations

1 secondary location on file with NPPES.

Location 2
3520 Muirfield Dr
Milton, GA 300044492
📞 4705145538

Specialties

  • Physician Assistant Primary
    Definition to come...
    taxonomy 363AS0400X

Identifiers

TypeValueNotes
01 (GA) 863812372 N/A

Practice context

Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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