Individual provider Active NPI

Rhonda Lynn Rountree, NP-C

  • General Practice Registered Nurse
  • Macon, GA
National Provider Identifier
1205906955
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
RN105840 Issued in GA
Practice address
770 Walnut St
Macon, GA 31201-7307
Phone
(478) 787-4266
Fax
(478) 787-4199
NPI assigned
Nov 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X RN105840 GA Primary

Addresses

Primary practice location

770 Walnut St
Macon, GA 31201-7307

Mailing address

PO Box 4363
Macon, GA 31208-4363
Phone (478) 787-4266

Other identifiers 2

IdentifierTypeStateIssuer
048613450AOtherGAPEACH STATE
048613450AMedicaidGA

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110318000475 GA Practitioner - Nurse Practitioner 4486837069

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN105840GAMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Primary Care, Inc CurrentSince Oct 3, 2012 Accepting new patients
First Choice Primary Care, Inc. Past Accepting new patients
First Choice Primary Care, Inc. Past Accepting new patients

Locations

3660 Houston Ave
Macon, GA 31206
Phone 47878742662130

174 Walnut St
Macon, GA 31201
Phone 4787874266229

770 Walnut St
Macon, GA 31201
Phone (478) 755-1110

3061 Houston Ave
Macon, GA 31206
Phone 47878742662129

207 Green St
Warner Robins, GA 31093
Phone 4787874266229

Interoperability endpoints

  • Direct secure messaging: rhonda.rountree@gadirect.net
  • FHIR API: https://api.platform.athenahealth.com/25178/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rhonda.rountree@fcpc.eclinicaldirectplus.com
  • Direct secure messaging: rhonda.rountree1@gadirect.net

Organizations & group practices 3

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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432771200000",
    "number": "1205906955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4363",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312084363",
            "telephone_number": "478-787-4266",
            "fax_number": "478-787-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 WALNUT ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312017307",
            "telephone_number": "478-787-4266",
            "fax_number": "478-787-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUNTREE",
        "first_name": "RHONDA",
        "middle_name": "LYNN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2015-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "GA",
            "license": "RN105840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEACH STATE",
            "identifier": "048613450A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048613450A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.