Individual provider Active NPI

Rebecca Habte

  • Physician Assistant
  • Roswell, GA
National Provider Identifier
1619306909
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9599 Issued in GA
Practice address
1902 Macy Dr
Roswell, GA 30076-6339
Phone
(678) 205-4322
NPI assigned
Nov 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 034083 NY
Physician Assistant 363A00000X 9599 GA Primary

Addresses

Primary practice location

1902 Macy Dr
Roswell, GA 30076-6339

Mailing address

1902 Macy Dr
Roswell, GA 30076-6339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, PA, NY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200521002513 GA Practitioner - Physician Assistant 5890116107
I20240216004095 PA Practitioner - Physician Assistant 5890116107 Reassigns benefits to 2 organizations
I20251015002204 NY Practitioner - Physician Assistant 5890116107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ophelia Medical Group FL PAGroup PAC ID 7810398534, 103 clinicians
Nitin V Sheth MD LLCGroup PAC ID 0143405134, 7 clinicians

Practice addresses (Care Compare)

161 Cecil B Moore Ave
Apt 204
Philadelphia, PA 19122-3243
Phone (215) 585-2144

18 E 41St St
FL 14
New York, NY 10017-6244
Phone (215) 585-2144

6 N Dorcas St
Lewistown, PA 17044-1737
Phone (717) 953-9571

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
034083NYMDPhysical Therapist
9599GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ophelia Medical Group, P.C. PastSince Mar 22, 2020 Accepting new patients

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, 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": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1619306909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 MACY DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300766339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 MACY DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300766339",
            "telephone_number": "678-205-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABTE",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-06",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "034083",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "9599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.