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

Tracy D Bland Dubose, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1952395535

Tracy D Bland Dubose, MD is an Obstetrics/Gynecology in Lithonia, Georgia. Graduated from University of Tennessee, Hsc, College of Medicine in 1999, 27 years ago. Practices with The Southeast Permanente Medical Group, a 826-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
27
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
GA
In the registry since
2005
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

5440 Hillandale Dr Dept OF OB Gyn
Lithonia, GA 30058-4865
Phone: (770) 322-2716
Fax: (770) 322-3244
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 052865 (GA)

Record details

NPI number1952395535
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 9, 2005
Last updated in NPPESJanuary 13, 2022

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice The Southeast Permanente Medical Group — 826 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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