Individual provider Active NPI

Rebecca Redding, D.O.

  • Family Medicine Physician
  • Monroe, GA
National Provider Identifier
1144601121
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
080746 Issued in GA
Practice address
704 Breedlove Dr Ste B
Monroe, GA 30655-2054
Phone
(770) 266-0935
Fax
(770) 266-0931
NPI assigned
Jun 15, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 080746 GA Primary

Addresses

Primary practice location

704 Breedlove Dr Ste B
Monroe, GA 30655-2054

Mailing address

PO Box 459
Colbert, GA 30628-0459
Phone (706) 788-3234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181116002247 GA Practitioner - Family Practice 1254649288 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medlink Georgia IncGroup PAC ID 3274442850, 93 clinicians

Practice addresses (Care Compare)

11 Charlie Morris Rd
Colbert, GA 30628-2445
Phone (706) 788-2127

112 Banks Rd
Suite 1
Commerce, GA 30529-6300
Phone (706) 677-4568

133 W Athens St
Winder, GA 30680-1786
Phone (770) 867-6633

137 W Athens St
Suite 103
Winder, GA 30680-1786
Phone (770) 867-6633

705 Breedlove Dr
Suite 100
Monroe, GA 30655-2080
Phone (770) 266-0935

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
080746GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstreet of Georgia PC CurrentSince Oct 31, 2024 Accepting new patients
Medlink Georgia Inc CurrentSince Aug 1, 2018 Accepting new patients
Medlink Georgia, Inc CurrentSince Aug 1, 2018 Accepting new patients
Medlink Georgia Inc Past Accepting new patients
Heras Healthcare Past Accepting new patients

Locations

2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941

11 Charlie Morris Rd
Colbert, GA 30628
Phone (706) 738-3234

11 Charlie Morris Rd
Bldg 2
Colbert, GA 30628
Phone (706) 738-3234

520 Jesse Jewell Pkwy SE
Gainesville, GA 30501
Phone (770) 287-0290

705 Breedlove Dr
Ste 100
Monroe, GA 30655
Phone (770) 266-0305

704 Breedlove Dr
#B
Monroe, GA 30655
Phone (770) 207-0107

924 W Spring St
Ste A
Monroe, GA 30655
Phone (770) 266-0935

133 W Athens St
Winder, GA 30680
Phone (770) 867-6633

Interoperability endpoints

  • Direct secure messaging: rebecca.jones.p52@direct.tenet.nextgenshare.com
  • Direct secure messaging: rebecca.redding@mgi.eclinicaldirectplus.com
  • Direct secure messaging: rebecca.redding.1@9864.direct.athenahealth.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1144601121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 459",
            "city": "COLBERT",
            "state": "GA",
            "postal_code": "306280459",
            "telephone_number": "706-788-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 BREEDLOVE DR STE B",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306552054",
            "telephone_number": "770-266-0935",
            "fax_number": "770-266-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDING",
        "first_name": "REBECCA",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-15",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "080746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, GA

Sources for this page

Verify at the official NPI Registry.