Individual provider Active NPI

Judith T Rausch, M.D.

  • Family Medicine Physician
  • Woodstock, GA
National Provider Identifier
1841216447
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
019757 Issued in GA
Practice address
1000 Wyngate Pkwy
Suite 210
Woodstock, GA 30189-6981
Phone
(678) 384-7305
Fax
(770) 928-9109
NPI assigned
Jul 15, 2006
Last updated
Jul 9, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 019757 GA Primary

Addresses

Primary practice location

1000 Wyngate Pkwy
Suite 210
Woodstock, GA 30189-6981

Mailing address

1000 Wyngate Pkwy
Suite 210
Woodstock, GA 30189-6981
Phone (678) 384-7305

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101124000317 GA Practitioner - Family Practice 0042406407 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Emory University School of Medicine, 1977
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1000 Wyngate Pkwy
Suite 210
Woodstock, GA 30189-6983
Phone (678) 384-7305

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
019757GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rausch Family Practice Family Medicine CurrentSince Sep 15, 2010 Accepting new patients
GCMD Medical Centers LLC CurrentSince Sep 12, 2024 Accepting new patients
Piedmont Providers LLC PastSince Mar 27, 2006 Accepting new patients

Locations

107 Westward Dr
Unit 661112
Miami Springs, FL 33266

1000 Wyngate Pkwy
Ste 210
Woodstock, GA 30189
Phone (678) 384-7305

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GGEABA/Endpoint/GGEABA

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373328000000",
    "number": "1841216447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 WYNGATE PKWY",
            "address_2": "SUITE 210",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301896981",
            "telephone_number": "678-384-7305",
            "fax_number": "770-928-9109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WYNGATE PKWY",
            "address_2": "SUITE 210",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301896981",
            "telephone_number": "678-384-7305",
            "fax_number": "770-928-9109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUSCH",
        "first_name": "JUDITH",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2013-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "019757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

Verify at the official NPI Registry.