Rebecca L Paffenroth, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

APRN11001090 Issued in FL

Practice address

2579 Highway 54
Peachtree City, GA 30269-1451

Phone

(770) 487-2645

Fax

(678) 273-7218

NPI assigned

Feb 8, 2019

Last updated

Feb 20, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Dermatology,P.C.Group PAC ID 2769556554, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Advanced Dermatology,P.C.

  • Specialist
  • Douglasville, GA
  • NPI 1932360757
  Medicare reassignment Care Compare group NPD
• Advanced Dermatology at Skincare 5TH Avenue, LLC

  • Dermatology Physician
  • Peachtree City, GA
  • NPI 1366277436
  Medicare reassignment NPD
• Watson Clinic LLP

  • Clinical Medical Laboratory
  • Lakeland, FL
  • NPI 1558409730
  NPD (past)

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1720543218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2579 HIGHWAY 54",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691451",
            "telephone_number": "770-487-2645",
            "fax_number": "678-273-7218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2579 HIGHWAY 54",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691451",
            "telephone_number": "770-487-2645",
            "fax_number": "678-273-7218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAFFENROTH",
        "first_name": "REBECCA",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-08",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11001090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Outpatient Imaging, LLC
• Donna V Owen
• Janet Elaine Pace, LPC
• Samantha Pacheco
• Sherry L. Padgett, DMD
• Sathiya Priya Palanisamy
• Hardik Parekh, M.D.
• Sarah Noel Parent
• Precious Parham
• Janice Carmen Park, DMD

• Adult Health Nurse Practitioner in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Adult Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.