Individual provider Active NPI

Rebecca Lynn Puetz, PA-C

  • Physician Assistant
  • Augusta, GA
National Provider Identifier
1083109102
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9231 Issued in GA
Practice address
818 Saint Sebastian Way Ste 311
Augusta, GA 30901-2653
Phone
(706) 724-3473
NPI assigned
Jun 30, 2018
Last updated
May 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110-006251 VA
Physician Assistant 363A00000X 9231 GA Primary

Addresses

Primary practice location

818 Saint Sebastian Way Ste 311
Augusta, GA 30901-2653

Mailing address

1120 15TH St # Or6000
Augusta, GA 30912-0004
Phone (706) 721-3813

Other practice location 1

1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8000

Other practice location 2

1880 Amherst St Ste 310
Winchester, VA 22601-2808
Phone (540) 536-6721

Other practice location 3

1120 15th St
Augusta, GA 30912-2808
Phone (706) 721-8623

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address rpuetz793804@soc.inova.org
Direct Messaging Address rpuetz793804@soc.inova.org
Direct Messaging Address rpuetz793804@soc.inova.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180910000790 VA Practitioner - Physician Assistant 0840540019 Reassigns benefits to 3 organizations
I20230801002885 GA Practitioner - Physician Assistant 0840540019 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Cardiology of Atlanta, LLCGroup PAC ID 0345321691, 478 clinicians

Practice addresses (Care Compare)

1348 Walton Way
Suite 5100
Augusta, GA 30901-5108
Phone (706) 722-1381

1350 Walton Way
Augusta, GA 30901-2612
Phone (706) 774-2183

1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000

2258 Wrightsboro Rd
Suite 400
Augusta, GA 30904-4788
Phone (706) 724-4400

2500 University Dr
Thomson, GA 30824-0040
Phone (706) 724-4400

4350 Towne Centre Dr
Suite 1100
Evans, GA 30809-3329
Phone (706) 863-3790

818 Saint Sebastian Way
Augusta, GA 30901-2653

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9231GAMDPhysical Therapist
0110-006251VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Medical Center CurrentSince May 24, 2021 Accepting new patients
Au Medical Associates Inc CurrentSince Jul 21, 2023 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jun 1, 2019 Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince May 24, 2021 Accepting new patients
Shenandoah Valley Pathology Laboratories Inc Current Accepting new patients
Winchester Medical Center Current Accepting new patients
Winchester Medical Center CurrentSince May 24, 2021 Accepting new patients
Winchester Medical Center Current Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jun 1, 2019 Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince May 24, 2021 Accepting new patients

Locations

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

1120 15th St
#6000
Augusta, GA 30912
Phone (706) 721-3813

12420 Milestone Center Dr
Ste 200
Germantown, MD 20876
Phone (336) 509-7515

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

1870 Amherst St
Ste 310
Winchester, VA 22601
Phone (540) 536-6721

1880 Amherst St
Ste 310
Winchester, VA 22601
Phone (540) 536-6721

220 Campus Blvd
Ste 100
Winchester, VA 22601

Interoperability endpoints

  • Direct secure messaging: rpuetz793804@soc.inova.org

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1530316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1083109102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 15TH ST # OR6000",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120004",
            "telephone_number": "706-721-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 SAINT SEBASTIAN WAY STE 311",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012653",
            "telephone_number": "706-724-3473"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1840 Amherst St",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226012808",
            "country_code": "US",
            "telephone_number": "540-536-8000",
            "fax_number": "540-536-7780",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1880 Amherst St Ste 310",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226012808",
            "country_code": "US",
            "telephone_number": "540-536-6721",
            "fax_number": "540-536-6724",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1120 15th St",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309122808",
            "country_code": "US",
            "telephone_number": "706-721-8623",
            "fax_number": "706-721-1459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUETZ",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-30",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110-006251",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "9231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rpuetz793804@soc.inova.org",
            "affiliation": "N",
            "address_1": "1870 Amherst St Ste 310",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226016254",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rpuetz793804@soc.inova.org",
            "affiliation": "N",
            "address_1": "1840 Amherst St",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rpuetz793804@soc.inova.org",
            "affiliation": "N",
            "address_1": "1880 Amherst St Ste 310",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.