NPIMap

Individual provider Active NPI

Rebecca Mueller, PAC

  • Physician Assistant
  • Stockbridge, GA
National Provider Identifier
1619608403
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0000 Issued in GA
Practice address
150 N Park TRL Ste B
Stockbridge, GA 30281-7372
Phone
(770) 507-0909
Fax
(770) 507-1919
NPI assigned
Jun 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0000 GA Primary

Addresses

Primary practice location

150 N Park TRL Ste B
Stockbridge, GA 30281-7372

Mailing address

150 N Park TRL Ste B
Stockbridge, GA 30281-7372
Phone (770) 507-0909

Other practice location 1

PO Box 776351
Chicago, IL 60677-7372
Phone (502) 588-9490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, KY, IN3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220919002546 GA Practitioner - Physician Assistant 1052796588 Reassigns benefits to 1 organization
I20250102001755 KY Practitioner - Physician Assistant 1052796588 Reassigns benefits to 1 organization
I20251118001574 IN Practitioner - Physician Assistant 1052796588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SN Kentuckiana Rehab, LLCGroup PAC ID 1254671464, shared by 19 NPIs, 339 clinicians
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

12613 Taylorsville Rd
Louisville, KY 40299-5496
Phone (502) 267-1480

1373 E State Rd
Madison, IN 47250-7328
Phone (812) 801-0848

200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 893-1270

210 E Gray St
Louisville, KY 40202-3900

210 E Gray St
Suite 900
Louisville, KY 40202-3905
Phone (502) 584-7525

4123 Dutchmans LN
Louisville, KY 40207-4718

825 Barret Ave
Louisville, KY 40204-1743
Phone (502) 272-5165

Hospital & facility affiliations

  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088

Merit-based Incentive Payment System (MIPS)

Final score
76.05 of 100Reported as group
Quality
39.8
Promoting interoperability
98
Improvement activities
40
Cost
82.02

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0000GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. CurrentSince Feb 1, 2025 Accepting new patients
Community Medical Associates, Inc. Physician Assistant CurrentSince Sep 29, 2025 Accepting new patients
Community Medical Associates, Inc. CurrentSince Feb 1, 2025 Accepting new patients
Community Medical Associates, Inc. Physician Assistant Current Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients

Locations

1220 Spring St
Jeffersonvlle, IN 47130
Phone (812) 282-8494

1373 E State Road 62
Ste 2A
Madison, IN 47250
Phone (812) 801-0848

1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181

9300 Stonestreet Rd
Ste 200
Louisville, KY 40272
Phone (502) 935-8061

210 E Gray St
Ste 900
Louisville, KY 40202
Phone (502) 584-8002

4001 Kresge Way
Ste 330
Louisville, KY 40207
Phone (502) 585-4376

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

3991 Dutchmans Ln
Ste 401
Louisville, KY 40207
Phone (502) 259-3220

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1619608403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N PARK TRL STE B",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817372",
            "telephone_number": "770-507-0909",
            "fax_number": "770-507-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N PARK TRL STE B",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817372",
            "telephone_number": "770-507-0909",
            "fax_number": "770-507-1919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 776351",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606777372",
            "country_code": "US",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "REBECCA",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-22",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "0000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.