Individual provider Active NPI

Scott Rappe, D.O.

  • Internal Medicine Physician
  • Tyrone, GA
National Provider Identifier
1922249267
Registry record updated Jul 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
73367 Issued in GA
Practice address
190 Greencastle Rd
Tyrone, GA 30290-2936
Phone
(770) 487-7807
Fax
(770) 487-7619
NPI assigned
Mar 17, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 73367 GA Primary
Internal Medicine Physician 207R00000X 261688 NY

Addresses

Primary practice location

190 Greencastle Rd
Tyrone, GA 30290-2936

Mailing address

190 Greencastle Rd
Tyrone, GA 30290-2936
Phone (770) 487-7807

Other identifiers 1

IdentifierTypeStateIssuer
G400068474OtherNYMEDICARE-QUEENS

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
I20150724012566 GA Practitioner - Internal Medicine 5294995577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

100 McWilliams Dr
Peachtree City, GA 30269-6948
Phone (770) 702-1864

101 McWilliams Dr
Peachtree City, GA 30269-6948
Phone (770) 487-7619

101 Yorktown Dr
Fayetteville, GA 30214-1578

101 Yorktown Dr
Suite 100
Fayetteville, GA 30214-7663
Phone (770) 460-4285

108 N Park Dr
Fayetteville, GA 30214-1645
Phone (770) 487-7807

190 Greencastle Rd
Tyrone, GA 30290-2936
Phone (770) 487-7807

710 Newnan Crossing Bypass
Suite 200
Newnan, GA 30263-2384
Phone (770) 487-7807

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
261688NYMDLicensed Practical Nurse
73367GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC Internal Medicine CurrentSince Oct 26, 2016 Accepting new patients
Privia Medical Group of Georgia LLC Internal Medicine CurrentSince Oct 26, 2016 Accepting new patients

Locations

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

108 N Park Dr
Fayetteville, GA 30214
Phone (770) 461-3466

710 Newnan Crossing Byp
Ste 200
Newnan, GA 30263
Phone (530) 477-4480

2579 Highway 54
Peachtree Cty, GA 30269
Phone (770) 487-2645

190 Greencastle Rd
Tyrone, GA 30290
Phone (678) 895-0216

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: scott.rappe.1@8042.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1237248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467417600000",
    "number": "1922249267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 GREENCASTLE RD",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302902936",
            "telephone_number": "770-487-7807",
            "fax_number": "770-487-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 GREENCASTLE RD",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302902936",
            "telephone_number": "770-487-7807",
            "fax_number": "770-487-7619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPPE",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-17",
        "last_updated": "2016-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "73367",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "261688",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-QUEENS",
            "identifier": "G400068474",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyrone, GA

Sources for this page

Verify at the official NPI Registry.