Individual provider Active NPI

Rebecca Melissa Scruggs, FNP

  • Family Nurse Practitioner
  • Ringgold, GA
National Provider Identifier
1356893432
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN176812 Issued in GA
Practice address
1249 Houston Valley Rd
Ringgold, GA 30736-8625
Phone
(706) 937-3112
NPI assigned
Oct 25, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN176812 GA Primary

Addresses

Primary practice location

1249 Houston Valley Rd
Ringgold, GA 30736-8625

Mailing address

1249 Houston Valley Rd
Ringgold, GA 30736-8625
Phone (706) 937-3112

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
I20170222001470 GA Practitioner - Nurse Practitioner 5496948259 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-Med Family Care, Inc CurrentSince Sep 1, 2021 Accepting new patients
Vision Medical Consulting, P.C. CurrentSince May 3, 2021 Accepting new patients
SF Georgia Medical Services PC CurrentSince Nov 1, 2020 Accepting new patients
Community Primary Care of Georgia LLC CurrentSince Jan 1, 2017 Accepting new patients
Optimus Diagnostics LLC Current Accepting new patients
Infinite Medical PC CurrentSince Nov 5, 2021 Accepting new patients
Vision Medical Consulting, P.C. PastSince Aug 1, 2022 Accepting new patients

Locations

2903 Stirling Rd
Fort Lauderdale, FL 33312
Phone 2124198180 ext. 98180

4421 Carnes St
Acworth, GA 30101
Phone (478) 621-2072

3715 Northside Pkwy NW
Bldg 2100
Atlanta, GA 30327
Phone (770) 938-1757

3715 Northside Pkwy NW
Ste 2100
Atlanta, GA 30327
Phone (770) 938-1757

22 Maple Ridge Dr
Cartersville, GA 30121
Phone (770) 606-8800

1005 Boulder Dr
Gray, GA 31032
Phone (478) 621-2072

343 Plantation Way
Macon, GA 31210
Phone (478) 405-9000

6120 Alabama Hwy
Ringgold, GA 30736
Phone (706) 935-5444

250 Skillman St
Ste 202
Brooklyn, NY 11205

Interoperability endpoints

  • Direct secure messaging: rebecca.scruggs.p1@direct.nghcc.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1356893432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1249 HOUSTON VALLEY RD",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307368625",
            "telephone_number": "706-937-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1249 HOUSTON VALLEY RD",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307368625",
            "telephone_number": "706-937-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCRUGGS",
        "first_name": "REBECCA",
        "middle_name": "MELISSA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-25",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN176812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ringgold, GA

Sources for this page

Verify at the official NPI Registry.