Individual provider Active NPI

Rebecca Jill Pope, NP-C

  • Family Nurse Practitioner
  • Carrollton, GA
National Provider Identifier
1578985271
Registry record updated Jan 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN203790 Issued in GA
Practice address
705 Dixie Street
Carrollton, GA 30117
Phone
(770) 836-9597
NPI assigned
Jan 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2014

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 RN203790 GA Primary

Addresses

Primary practice location

705 Dixie Street
Carrollton, GA 30117

Mailing address

705 Dixie Street
Carrollton, GA 30117
Phone (770) 836-9597

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
I20140521002618 GA Practitioner - Nurse Practitioner 5799908687 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabilitation Physicians of Georgia, P.C.Group PAC ID 4082696109, 12 clinicians

Practice addresses (Care Compare)

2450 Atlanta Hwy
Suite 904
Cumming, GA 30040-1252
Phone 4046595909221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN203790GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Immediate Care, Inc CurrentSince Oct 17, 2015 Accepting new patients
Tanner Medical Group Inc CurrentSince Mar 23, 2020 Accepting new patients
Rehabilitation Physicians of Georgia, P.C. CurrentSince Aug 3, 2015 Accepting new patients
Carrollton Emergency Physicians, PC CurrentSince Mar 20, 2014 Accepting new patients
Georgia Em-I Medical Services. LLC CurrentSince Oct 15, 2014 Accepting new patients
Georgia Em-I Medical Services, LLC CurrentSince Oct 15, 2014 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

200 Allen Memorial Dr
Bremen, GA 30110
Phone (770) 537-5851

705 Dixie St
Carrollton, GA 30117
Phone (770) 812-9666

2450 Atlanta Hwy
Ste 904
Cumming, GA 30040
Phone 4046595909221

2675 Main St W
Snellville, GA 30078
Phone (404) 493-4381

601 Dallas Hwy
Villa Rica, GA 30180
Phone (770) 456-3000

690 Dallas Hwy
Ste 207A
Villa Rica, GA 30180
Phone (770) 456-3646

101 Quartz Dr
Ste 101
Villa Rica, GA 30180
Phone (770) 836-9445

Interoperability endpoints

  • Direct secure messaging: rebeccapope@rpgpc.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1578985271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 DIXIE STREET",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "30117",
            "telephone_number": "770-836-9597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 DIXIE STREET",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "30117",
            "telephone_number": "770-836-9597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPE",
        "first_name": "REBECCA",
        "middle_name": "JILL",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-14",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN203790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

Verify at the official NPI Registry.