Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Georgia Blackwood Kubic, MD

Individual provider Family Medicine Physician · NPI 1235429655

Georgia Blackwood Kubic, MD is a Family Practice in Salt Lake City, Utah. Graduated from Virginia Commonwealth University, School of Medicine in 2011, 15 years ago. Practices with Alaska Native Tribal Health Consortium, a 603-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
15
Trained at
Virginia Commonwealth University, School of Medicine
Licensed in
UT
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

375 Chipeta Way University Of Utah Family Medicine Residency
Salt Lake City, UT 84108-1260
Phone: (801) 587-3411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 8406695-1205 (UT)

Record details

NPI number1235429655
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 19, 2011
Last updated in NPPESAugust 20, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolVIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Alaska Native Tribal Health Consortium — 603 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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