Individual provider Active NPI

Rebecca Marie Spahos, MD

  • Surgery Physician
  • Statesboro, GA
National Provider Identifier
1548420599
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
69188 Issued in GA
Practice address
1058 Bermuda Run Road
Statesboro, GA 30458-0858
Phone
(912) 871-7100
Fax
(912) 871-7110
NPI assigned
Jun 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 69188 GA Primary

Addresses

Primary practice location

1058 Bermuda Run Road
Statesboro, GA 30458-0858

Mailing address

1058 Bermuda Run Road
Statesboro, GA 30458-0858
Phone (912) 871-7100

Other identifiers 1

IdentifierTypeStateIssuer
003137844AMedicaidGA

Other names 1

  • Rebecca M Fabbri Former name

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
I20130913000155 GA Practitioner - General Surgery 4880838812 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Medical College of Georgia School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evans Memorial Hospital IncGroup PAC ID 0749262905, 5 clinicians

Practice addresses (Care Compare)

604 E Long St
Suite a
Claxton, GA 30417-5914
Phone (912) 739-7710

Hospital & facility affiliations

  • Evans Memorial Hospital Hospital, Claxton, GA, CCN 110142
  • East Georgia Regional Medical Center Hospital, Statesboro, GA, CCN 110075
  • Memorial Health Meadows Hospital Hospital, Vidalia, GA, CCN 110128

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy26
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux18
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Surgical Associates, PC Current Accepting new patients
Evans Memorial Hospital, Inc. Current Accepting new patients
Evans Memorial Hospital, Inc. CurrentSince Sep 1, 2019 Accepting new patients
Evans Memorial Hospital Inc CurrentSince Sep 1, 2019 Accepting new patients

Locations

604 E Long St
#A
Claxton, GA 30417
Phone (912) 355-8000

200 N River St
Claxton, GA 30417
Phone (912) 739-2611

604A E Long St
Claxton, GA 30417
Phone (912) 739-2611

1058 Bermuda Run
Statesboro, GA 30458
Phone (912) 871-7100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8824/brand/3/csg/1/fhir/r4
  • FHIR API: https://fhir-usa.unify.chbase.com/org/evansme-081e9909

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410825600000",
    "number": "1548420599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1058 BERMUDA RUN ROAD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304580858",
            "telephone_number": "912-871-7100",
            "fax_number": "912-871-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1058 BERMUDA RUN ROAD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304580858",
            "telephone_number": "912-871-7100",
            "fax_number": "912-871-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAHOS",
        "first_name": "REBECCA",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-12",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "69188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003137844A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "FABBRI",
            "middle_name": "M",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Statesboro, GA

Sources for this page

Verify at the official NPI Registry.