Individual provider Active NPI

Rebekah Scout Sanders, ACNPC-AG

  • Nurse Practitioner
  • Augusta, GA
National Provider Identifier
1952765018
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024173413 Issued in VA
Practice address
1348 Walton Way Ste 5700
Augusta, GA 30901-5110
Phone
(706) 722-8242
Fax
(706) 722-8351
NPI assigned
Apr 5, 2016
Last updated
Jan 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN282064 GA
Nurse Practitioner 363L00000X RN2312926 MA
Nurse Practitioner 363L00000X 0024173413 VA Primary
Acute Care Nurse Practitioner 363LA2100X 0024173413 VA
Gerontology Nurse Practitioner 363LG0600X AP61381088 WA

Addresses

Primary practice location

1348 Walton Way Ste 5700
Augusta, GA 30901-5110

Mailing address

PO Box 1705
Augusta, GA 30903-1705
Phone (706) 774-8326

Other practice location 1

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001

Other practice location 2

8081 Innovation Park Dr Ste 800
Fairfax, VA 22031-4867
Phone (571) 472-4600

Other practice location 3

2921 Telestar Ct
Falls Church, VA 22042-1205
Phone (703) 280-5858

Other practice location 4

1100 Goethals Dr Ste E
Richland, WA 99352-3301
Phone (509) 942-3095

Other names 1

  • Rebekah Sue Sanders Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NY, DC, VA, WV5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20190605003159 GA Practitioner - Nurse Practitioner 0042567588
I20210106002788 NY Practitioner - Nurse Practitioner 0042567588 Reassigns benefits to 1 organization
I20210823002552 DC Practitioner - Nurse Practitioner 0042567588 Reassigns benefits to 1 organization
I20220906002028 VA Practitioner - Nurse Practitioner 0042567588 Reassigns benefits to 3 organizations
I20241126004130 WV Practitioner - Nurse Practitioner 0042567588 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vohra Post Acute Care Physicians of the Northeast PAGroup PAC ID 9335378066, 34 clinicians

Practice addresses (Care Compare)

1379 Van Voorhis Rd
Morgantown, WV 26505-3415
Phone (304) 599-9480

302 Cedar Ridge Rd
Sissonville, WV 25320-9502
Phone (304) 984-0046

6500 Maccorkle Ave
Saint Albans, WV 25177-2326
Phone (304) 769-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN282064GAMDNurse Practitioner
RN2312926MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Medical Center CurrentSince Jul 11, 2022 Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Jul 11, 2022 Accepting new patients
Vohra Post Acute Care Physicians of the Northeast PA CurrentSince Jul 21, 2025 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Aug 1, 2023 Accepting new patients
Valley Physician Enterprise, Inc CurrentSince Jul 11, 2022 Accepting new patients
Consonant Healing Associates of de LLC Nurse Practitioner CurrentSince Oct 27, 2024 Accepting new patients
Winchester Medical Center Current Accepting new patients
Inova Health Care Services CurrentSince Jul 6, 2021 Accepting new patients
Winchester Medical Center CurrentSince Jul 11, 2022 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Aug 1, 2023 Accepting new patients
St Josephs Medical PC CurrentSince Dec 2, 2020 Accepting new patients
Inova Health Care Services CurrentSince Jul 6, 2021 Accepting new patients
North Medical PC Current Accepting new patients

Locations

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

104 Union Ave
Ste 1005
Syracuse, NY 13203
Phone (315) 424-0790

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

8081 Innovation Park Dr
Ste 800
Fairfax, VA 22031
Phone (571) 472-4600

2921 Telestar Ct
Falls Church, VA 22042
Phone (703) 591-1280

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

1880 Amherst St
Ste 300
Winchester, VA 22601
Phone (540) 536-6721

220 Campus Blvd
Ste 100
Winchester, VA 22601

1263 S George St
#A
Charles Town, WV 25414

1263 S George St
Ste A
Charles Town, WV 25414

6500 McCorkle Ave
Saint Albans, WV 25177
Phone (304) 768-0002

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1952765018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1705",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309031705",
            "telephone_number": "706-774-8326",
            "fax_number": "706-774-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1348 WALTON WAY STE 5700",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309015110",
            "telephone_number": "706-722-8242",
            "fax_number": "706-722-8351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Gallows Rd",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220423307",
            "country_code": "US",
            "telephone_number": "703-776-4001",
            "fax_number": "703-776-7113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8081 Innovation Park Dr Ste 800",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220314867",
            "country_code": "US",
            "telephone_number": "571-472-4600",
            "fax_number": "571-665-6885",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2921 Telestar Ct",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220421205",
            "country_code": "US",
            "telephone_number": "703-280-5858",
            "fax_number": "703-849-0874",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Goethals Dr Ste E",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "WA",
            "postal_code": "993523301",
            "country_code": "US",
            "telephone_number": "509-942-3095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "REBEKAH",
        "middle_name": "SCOUT",
        "name_prefix": "Ms.",
        "credential": "ACNPC-AG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-05",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN282064",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2312926",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024173413",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024173413",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WA",
            "license": "AP61381088",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBEKAH",
            "last_name": "SANDERS",
            "middle_name": "SUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.