Individual provider Active NPI

Robert Thomas Pepper, MD

  • Family Medicine Physician
  • Madison, GA
National Provider Identifier
1902364383
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10299 Issued in TX
Practice address
1740 Lions Club Rd Ste 100
Madison, GA 30650-4762
Phone
(706) 752-2373
Fax
(706) 438-1278
NPI assigned
Mar 5, 2019
Last updated
Nov 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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 10299 TX Primary

Addresses

Primary practice location

1740 Lions Club Rd Ste 100
Madison, GA 30650-4762

Mailing address

1740 Lions Club Rd
Madison, GA 30650-4762
Phone (706) 752-2284

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address robertp@mmh.org Direct

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
I20190814002017 GA Practitioner - Family Practice 7517294523 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas a & M University System, HSC, College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10299TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Morgan County Georgia Hospital Authority Family Medicine CurrentSince May 3, 2019 Accepting new patients
Morgan County Georgia Hospital Authority Current Accepting new patients

Locations

1740 Lions Club Rd
Madison, GA 30650
Phone (706) 342-1667

1740 Lions Club Rd
Ste 100
Madison, GA 30650
Phone (706) 752-2373

Interoperability endpoints

  • Direct secure messaging: robertp@mmh.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1902364383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 LIONS CLUB RD",
            "city": "MADISON",
            "state": "GA",
            "postal_code": "306504762",
            "telephone_number": "706-752-2284",
            "fax_number": "706-342-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 LIONS CLUB RD STE 100",
            "city": "MADISON",
            "state": "GA",
            "postal_code": "306504762",
            "telephone_number": "706-752-2373",
            "fax_number": "706-438-1278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPPER",
        "first_name": "ROBERT",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-05",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "10299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "robertp@mmh.org",
            "affiliation": "N",
            "endpointDescription": "Morgan Physician Services Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1740 Lions Club Rd Ste 100",
            "city": "Madison",
            "state": "GA",
            "country_code": "US",
            "postal_code": "306504762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, GA

Sources for this page

Verify at the official NPI Registry.