JAMES MCCUBBIN M.D. NPI 1720090376

NPI Information

  • NPI: 1720090376
  • Provider Name: JAMES MCCUBBIN, M.D.
  • Classification: Emergency Medical Technician, Basic - 146N00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2204 WILBORN AVE
    SOUTH BOSTON, VA
    ZIP 24592
  • Phone: (434) 517-3123

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NPI Details

James Mccubbin, M.D. is an emergency medical technician basic in South Boston, VA with 26 years of experience. The provider is a Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. James Mccubbin, M.D. NPI is 1720090376. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduation Year:2000

The provider's business location address is:

2204 WILBORN AVE
SOUTH BOSTON, VA
ZIP 24592-645
Phone: (434) 517-3123

The NPI 1720090376 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Emergency department visit for life threatening or functioning severity (HCPCS:99285)
  • Emergency department visit for problem of high severity (HCPCS:99284)
  • Emergency department visit for problem of moderate severity (HCPCS:99283)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)

The enumeration date for this NPI number is 8/12/2006 and was last updated on 1/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1146N00000XEmergency Medical Technician, Basic0101243579VIRGINIAYes
2207P00000XEmergency Medicine0101243579VIRGINIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11720090376OTHERVIRGINIANPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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