Organization Active NPI

Rabessler MD PC

  • Internal Medicine Physician
  • Jesup, GA
National Provider Identifier
1174731970
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RABESSLER MD PC
Practice address
1311 W Cherry St
Jesup, GA 31545-0614
Phone
(912) 427-7792
NPI assigned
May 18, 2007
Last updated
Jul 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Authorized official

Name
Laura Fall
Title
Manager
Phone
(253) 682-6040

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1311 W Cherry St
Jesup, GA 31545-0614

Mailing address

1222 Demonbreun St Ste 1601
Nashville, TN 37203-7092
Phone (253) 682-6040

Other practice location 1

308 Lake Dr
Somerville, TN 38068-9716
Phone (901) 465-9861

Other names 1

  • Ronald L Casey MD PC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, GA, TN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20070823001024 NV Part B Supplier - Clinic/Group Practice 6709978562 Receives reassigned benefits from 80 practitioners
Practice locations: Las Vegas, NV; Sparks, NV
O20250212002025 GA Part B Supplier - Clinic/Group Practice 6709978562 Receives reassigned benefits from 31 practitioners
Practice locations: La Fayette, GA; Marietta, GA; Metter, GA; Peachtree City, GA; Pineview, GA; Reidsville, GA; Rockmart, GA; Rome, GA…
O20250516000393 TN Part B Supplier - Clinic/Group Practice 6709978562 Receives reassigned benefits from 13 practitioners
Practice locations: Somerville, TN; Springfield, TN; Nashville, TN

National Provider Directory

National Provider Directory

Locations

1350 E Church St
Jasper, GA 30143
Phone (706) 253-2441

10200 US Highway 1 S
Wadley, GA 30477
Phone (478) 252-3254

Practitioners & affiliated clinicians

Practitioners 128

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 128

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1174731970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 DEMONBREUN ST STE 1601",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372037092",
            "telephone_number": "253-682-6040",
            "fax_number": "888-241-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 W CHERRY ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450614",
            "telephone_number": "912-427-7792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "308 Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Somerville",
            "state": "TN",
            "postal_code": "380689716",
            "country_code": "US",
            "telephone_number": "901-465-9861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RABESSLER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "FALL",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "253-682-6040"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ronald L Casey MD PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Jesup, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.