Organization Active NPI

Sylacauga Obstetrics and Gynecology, PC

  • Obstetrics & Gynecology Physician
  • Sylacauga, AL
National Provider Identifier
1639372907
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
28010 Issued in AL
Legal business name
SYLACAUGA OBSTETRICS AND GYNECOLOGY, PC
Practice address
315 W Fort Williams St Ste 100
Sylacauga, AL 35150-2433
Phone
(256) 249-6995
Fax
(256) 245-6992
NPI assigned
Jun 6, 2007
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. Jonathan Francis Rehberg, MDNPI 1124067053
Title
President
Phone
(256) 249-6995

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 28010 AL Primary

Addresses

Primary practice location

315 W Fort Williams St Ste 100
Sylacauga, AL 35150-2433

Mailing address

315 W Fort Williams St Ste 100
Sylacauga, AL 35150-2433
Phone (256) 249-6995

Other practice location 1

315 W Fort Williams St Ste 100
Sylacauga, AL 35150-2433
Phone (256) 249-6995

Other identifiers 1

IdentifierTypeStateIssuer
529932834MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070907000554 AL Part B Supplier - Clinic/Group Practice 7810080751 Receives reassigned benefits from 4 practitioners
Practice locations: Sylacauga, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D1070803Sylacauga Obstetrics and Gynecology PC315 West Fort Williams St Suite 100, Sylacauga, AL 35150Provider-performed microscopyJul 9, 2027

National Provider Directory

National Provider Directory

Locations

315 W Fort Williams St
#100
Sylacauga, AL 35150
Phone (256) 249-6995

315 W Fort Williams St
Ste 100
Sylacauga, AL 35150
Phone (256) 249-6995

200 Battle St E
Talladega, AL 35160
Phone (256) 249-6995

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1639372907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W FORT WILLIAMS ST STE 100",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502433",
            "telephone_number": "256-249-6995",
            "fax_number": "256-245-6992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W FORT WILLIAMS ST STE 100",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502433",
            "telephone_number": "256-249-6995",
            "fax_number": "256-245-6992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 W Fort Williams St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Sylacauga",
            "state": "AL",
            "postal_code": "351502433",
            "country_code": "US",
            "telephone_number": "256-249-6995",
            "fax_number": "256-245-6992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SYLACAUGA OBSTETRICS AND GYNECOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "REHBERG",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-249-6995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "28010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529932834",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylacauga, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.