REBECCA FONDREN HUMPHRIES APRN
NPI 1467606293
Nurse Practitioner - Adult Health in Lagrange, GA

Active since November 06, 2008PECOS Enrolled
92.26/100
CMS Quality Rating
303 SMITH STREET, EMORY CLARK HOLDER CLINIC, LAGRANGE, GA 30240(706) 882-8831(706) 812-4091 Get Directions Write a Review

NPPES record last updated: November 7, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rebecca Fondren Humphries Aprn NPPES

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

REBECCA FONDREN HUMPHRIES APRN (NPI 1467606293) is an individual adult health provider in Lagrange, Georgia, licensed in Georgia (RN175845 NP) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467606293
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameREBECCA FONDREN HUMPHRIESCredential: APRN
Location Address303 SMITH STREET, EMORY CLARK HOLDER CLINICLagrange, GA 30240
Mailing Address303 Smith Street, Emory Clark Holder ClinicLagrange, GA 30240 · (706) 882-8831 · Fax (706) 812-4091
Fax(706) 812-4091
Sole ProprietorNo
Enumeration DateNovember 6, 2008
Last NPPES UpdateNovember 7, 2008
NPI 1467606293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in GA · RN175845 NP
Also ListedNurse PractitionerTaxonomy 363L00000X · License RN175845 NP (GA)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License RN175845 NP (GA)
303 SMITH STREET, Lagrange, GA 30240

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Rebecca Fondren Humphries Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30240 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each A4417
DME-Orthotic Devices · category DF010N
1 supplier14 claims660 services$3.39 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Family)
303 SMITH STREET, EMORY CLARK-HOLDER CLINIC
LAGRANGE, GA 30240
Urology
303 SMITH STREET, CLARK-HOLDER CLINIC, P.A.
LAGRANGE, GA 30240
Nurse Practitioner
303 SMITH STREET, EMORY CLARK- HOLDER CLINIC
LAGRANGE, GA 30240
Nurse Practitioner (Primary Care)
303 SMITH STREET, CLARK-HOLDER CLINIC, P.A.
LAGRANGE, GA 30240
Nurse Practitioner (Family)
303 SMITH STREET
LAGRANGE, GA 30240

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 Rebecca Humphries's NPI number?

The NPI number for Rebecca Humphries is 1467606293. It was assigned to this individual provider in the NPPES registry on November 6, 2008.

Where is Rebecca Humphries located?

Rebecca Humphries practices at 303 Smith Street Emory Clark Holder Clinic, Lagrange, GA 30240. The listed phone number is (706) 882-8831.

What is Rebecca Humphries's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Rebecca Humphries enrolled in Medicare?

Yes. Rebecca Humphries is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rebecca Humphries was last updated on November 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.