| James Mccubbin, MD | |
|
2204 Wilborn Ave, South Boston, VA 24592-1645 | |
| (434) 517-3123 | |
| Not Available |
| Full Name | James Mccubbin |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 25 Years |
| Location | 2204 Wilborn Ave, South Boston, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720090376 | NPI | - | NPPES |
| 1720090376 | Other | VA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 0101243579 (Virginia) | Secondary |
| 146N00000X | Emergency Medical Technician, Basic | 0101243579 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hugh Chatham Memorial Hospital | Elkin, NC | Hospital |
| Ashe Memorial Hospital | Jefferson, NC | Hospital |
| Unc Lenoir Health Care | Kinston, NC | Hospital |
| Onslow Memorial Hospital | Jacksonville, NC | Hospital |
| North Carolina Baptist Hospital | Winston-salem, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Yadkin Emergency Physicians Pllc | 3173875127 | 17 |
| Jefferson Emergency Services Pllc | 4880813047 | 10 |
| Kinston Physicians Group Pllc | 6204087919 | 16 |
| Tarheel Emergency Group, Pllc | 6709268576 | 34 |
| Entity Name | Kinston Physicians Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689923757 PECOS PAC ID: 6204087919 Enrollment ID: O20121106000298 |
| Entity Name | Jefferson Emergency Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720495336 PECOS PAC ID: 4880813047 Enrollment ID: O20140919002281 |
| Entity Name | Yadkin Emergency Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417443771 PECOS PAC ID: 3173875127 Enrollment ID: O20181003000297 |
| Entity Name | Piedmont Triad Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295206464 PECOS PAC ID: 6406197334 Enrollment ID: O20190403000344 |
| Entity Name | Kernersville Emergency Group, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750852034 PECOS PAC ID: 3375885429 Enrollment ID: O20190422001205 |
| Entity Name | Tanglewood Park Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093286379 PECOS PAC ID: 3476895129 Enrollment ID: O20190429001041 |
| Entity Name | Tarheel Emergency Group, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386388874 PECOS PAC ID: 6709268576 Enrollment ID: O20220727001462 |
| Mailing Address | Practice Location Address |
|---|---|
| James Mccubbin, MD 1122 Brook Run Rd, Halifax, VA 24558-3004 Ph: (434) 476-2421 | James Mccubbin, MD 2204 Wilborn Ave, South Boston, VA 24592-1645 Ph: (434) 517-3123 |