Organization Active NPI

Rausch Family Practice

  • Family Medicine Physician
  • Woodstock, GA
National Provider Identifier
1033425939
Registry record updated Aug 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
019757 Issued in GA
Legal business name
RAUSCH FAMILY PRACTICE
Practice address
1000 Wyngate Pkwy
Suite 210
Woodstock, GA 30189-6981
Phone
(678) 384-7305
Fax
(770) 928-9109
NPI assigned
Aug 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Judith Rausch, M.D.NPI 1841216447
Title
Chief Executive Officer
Phone
(404) 444-6416

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 019757 GA Primary

Addresses

Primary practice location

1000 Wyngate Pkwy
Suite 210
Woodstock, GA 30189-6981

Mailing address

1000 Wyngate Pkwy
Suite 210
Woodstock, GA 30189-6981
Phone (678) 384-7305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101124000232 GA Part B Supplier - Clinic/Group Practice 2264628627 Receives reassigned benefits from 1 practitioner
Practice locations: Woodstock, GA

National Provider Directory

National Provider Directory

Locations

1000 Wyngate Pkwy
Ste 210
Woodstock, GA 30189
Phone (678) 384-7305

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283126400000",
    "number": "1033425939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 WYNGATE PKWY",
            "address_2": "SUITE 210",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301896981",
            "telephone_number": "678-384-7305",
            "fax_number": "770-928-9109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WYNGATE PKWY",
            "address_2": "SUITE 210",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301896981",
            "telephone_number": "678-384-7305",
            "fax_number": "770-928-9109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAUSCH FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-30",
        "last_updated": "2010-08-30",
        "status": "A",
        "authorized_official_last_name": "RAUSCH",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "404-444-6416",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "019757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.