REBECCA CONDON STAUB MD
NPI 1184042228
Pediatrics in Tifton, GA

Q: What is Rebecca Staub's NPI number?

The NPI number for Rebecca Staub is 1184042228. It was assigned to this individual provider in the NPPES registry on April 5, 2014.

Q: What is Rebecca Staub's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Rebecca Staub was last updated on October 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 05, 2014

39 KENT RD STE 5, TIFTON, GA 31794(229) 353-7337 Get Directions Write a Review

NPPES record last updated: October 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 20, 2021, Dec 1, 2020, Feb 17, 2020 and 1 more (4 updates tracked since 2017).

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About Rebecca Condon Staub Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REBECCA CONDON STAUB MD (NPI 1184042228) is an individual pediatrics provider in Tifton, Georgia, licensed in Georgia (075158) and active in the NPI registry since April 2014.

NPPES Registry Identity

NPI1184042228

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameREBECCA CONDON STAUBCredential: MD

Location Address39 KENT RD STE 5Tifton, GA 31794-1697

Mailing Address907 E 18th Street, Suite 150Tifton, GA 31794 · (229) 353-3450 · Fax (229) 353-6060

Phone(229) 353-7337

Sole ProprietorNo

Enumeration DateApril 5, 2014

Last NPPES UpdateOctober 20, 20214 updates tracked since enumeration

NPPES CertifiedOctober 20, 2021

✔ NPI 1184042228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in GA · 075158

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

39 KENT RD STE 5, Tifton, GA 31794

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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIFT REGIONAL HEALTH SYSTEM INC

Pediatrics