Individual provider Active NPI

Rebecca Bobbitt

  • Integrative Medicine Physician
  • Kathleen, GA
National Provider Identifier
1619858545
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Integrative Medicine PhysicianTaxonomy code 202D00000X
License
RN311839 Issued in GA
Practice address
112 Loneoak TRL
Kathleen, GA 31047-4183
Phone
(478) 951-5481
NPI assigned
Sep 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Integrative Medicine Physician 202D00000X RN311839 GA Primary

Addresses

Primary practice location

112 Loneoak TRL
Kathleen, GA 31047-4183

Mailing address

112 Loneoak TRL
Kathleen, GA 31047-4183

Other practice location 1

4420 Forsyth Rd Ste 125
Macon, GA 31210-0538
Phone (478) 223-7448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN311839GAMDIntegrative Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1619858545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 LONEOAK TRL",
            "city": "KATHLEEN",
            "state": "GA",
            "postal_code": "310474183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 LONEOAK TRL",
            "city": "KATHLEEN",
            "state": "GA",
            "postal_code": "310474183",
            "telephone_number": "478-951-5481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4420 Forsyth Rd Ste 125",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312100538",
            "country_code": "US",
            "telephone_number": "478-223-7448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOBBITT",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "GA",
            "license": "RN311839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kathleen, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.