Active NPI
Rebecca Marie Spahos, MD
- Surgery Physician
- Statesboro, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 69188
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003137844A | Medicaid | GA |
Other names 1
- Rebecca M Fabbri
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
Enrollment records 1
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
Practice addresses (Care Compare)
604 E Long St
Suite a
Claxton, GA 30417-5914
Phone (912) 739-7710
Hospital & facility affiliations
- Evans Memorial Hospital
- East Georgia Regional Medical Center
- Memorial Health Meadows Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 26 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 18 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedar Surgical Associates, PC | Current | Accepting new patients | |
| Evans Memorial Hospital, Inc. | Current | Accepting new patients | |
| Evans Memorial Hospital, Inc. | Current | Accepting new patients | |
| Evans Memorial Hospital Inc | Current | 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
- https://api.platform.athenahealth.com/8824/brand/3/csg/1/fhir/r4
- 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.
-
- General Acute Care Hospital
- Claxton, GA
- NPI 1730110826
-
- Specialist
- Statesboro, GA
- NPI 1235141185
-
- Family Medicine Physician
- Claxton, GA
- NPI 1134453111
-
- Psychiatric Hospital Unit
- Claxton, GA
- NPI 1861926438
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Statesboro, GA
- NPI 1265486278
-
- General Acute Care Hospital
- Claxton, GA
- NPI 1730110826
-
- General Acute Care Hospital
- Vidalia, GA
- NPI 1790376564
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.