Active NPI
Rebecca Torres, CSFA
- Surgery Physician
- Crandall, GA
National Provider Identifier
1770327660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ST61395490
- Practice address
- PO Box 220
Crandall, GA 30711-0220 - Phone
- (706) 537-5624
- NPI assigned
- Jun 24, 2024
- Last updated
- Jun 24, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ST61395490 | WA | Primary |
Addresses
Primary practice location
PO Box 220
Crandall, GA 30711-0220
Mailing address
PO Box 220
Crandall, GA 30711-0220
Phone (706) 537-5624
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
| License | State | Type | Specialty |
|---|---|---|---|
| ST61395490 | WA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719187200000",
"number": "1770327660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 220",
"city": "CRANDALL",
"state": "GA",
"postal_code": "307110220",
"telephone_number": "706-537-5624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 220",
"city": "CRANDALL",
"state": "GA",
"postal_code": "307110220",
"telephone_number": "706-537-5624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORRES",
"first_name": "REBECCA",
"credential": "CSFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-24",
"last_updated": "2024-06-24",
"certification_date": "2024-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "ST61395490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crandall, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.