Active NPI
Javier S Rincon Sr.
- Phlebotomy Technician
- Athens, GA
National Provider Identifier
1033083613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- 20240917142142
- Practice address
- 205 Westchester Dr Apt 21
Athens, GA 30606-2050 - Phone
- (706) 540-7848
- Fax
- (706) 540-6147
- NPI assigned
- Oct 6, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | 20240917142142 | GA | Primary |
| Medical Physician Assistant | 363AM0700X | 20240917142141 | GA |
Addresses
Primary practice location
205 Westchester Dr Apt 21
Athens, GA 30606-2050
Mailing address
205 Westchester Dr Apt 21
Athens, GA 30606-2050
Phone (706) 540-7848
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20240917142142 | GA | MD | Phlebotomy Technician |
| 20240917142141 | GA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761523200000",
"number": "1033083613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 WESTCHESTER DR APT 21",
"city": "ATHENS",
"state": "GA",
"postal_code": "306062050",
"telephone_number": "706-540-7848",
"fax_number": "706-540-6147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 WESTCHESTER DR APT 21",
"city": "ATHENS",
"state": "GA",
"postal_code": "306062050",
"telephone_number": "706-540-7848",
"fax_number": "706-540-6147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RINCON",
"first_name": "JAVIER",
"middle_name": "S",
"name_suffix": "Sr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-10-06",
"last_updated": "2025-10-27",
"certification_date": "2025-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Pathology, Phlebotomy",
"state": "GA",
"license": "20240917142142",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": "GA",
"license": "20240917142141",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.