REJUVENANT FAMILY HEALTH CARE
NPI 1164280384
Family Medicine in Macon, GA
About Rejuvenant Family Health Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REJUVENANT FAMILY HEALTH CARE (NPI 1164280384) is a healthcare organization registered as a family medicine in Macon, Georgia and active in the NPI registry since March 2024. The organization lists Jennifer E Evans, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Rejuvenant Family Health Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Rejuvenant Family Health Care, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Rejuvenant Family Health Care's NPI number?
The NPI number for Rejuvenant Family Health Care is 1164280384. It was assigned to this organization in the NPPES registry on March 12, 2024.
Where is Rejuvenant Family Health Care located?
Rejuvenant Family Health Care is located at 2140 Riverside Dr Ste C, Macon, GA 31204. The listed phone number is (478) 309-5500.
What is Rejuvenant Family Health Care's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Rejuvenant Family Health Care enrolled in Medicare?
Yes. Rejuvenant Family Health Care is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Rejuvenant Family Health Care?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Rejuvenant Family Health Care. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Rejuvenant Family Health Care was last updated on March 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Rejuvenant Family Health Care · NPI 1164280384
Family Medicine organization in Macon, Georgia. Organization record, active in the CMS NPPES registry since March 12, 2024.
## Identity
- **NPI:** 1164280384 (Entity type: Organization)
- **Enumerated:** March 12, 2024
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Jennifer Evans, OWNER
## Practice location
- **Address:** 2140 RIVERSIDE DR STE C, Macon, GA 31204-1792
- **Phone:** (478) 309-5500 · **Fax:** (478) 309-5510
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 12, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1164280384) · Data from the CMS NPPES public registry.