REBECCA ANGELA PANKOVE
NPI 1629735550
Student in an Organized Health Care Education/Training Program in Atlanta, GA

Q: What is Rebecca Pankove's NPI number?

The NPI number for Rebecca Pankove is 1629735550. It was assigned to this individual provider in the NPPES registry on November 27, 2021.

Q: What is Rebecca Pankove's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Rebecca Pankove was last updated on December 9, 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 November 27, 2021PECOS Enrolled

100 WOODRUFF CIR NE, ATLANTA, GA 30322(404) 727-5655 Get Directions Write a Review

NPPES record last updated: December 9, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Dec 9, 2021, Nov 27, 2021 (2 updates tracked since 2021).

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About Rebecca Angela Pankove NPPES

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

REBECCA ANGELA PANKOVE (NPI 1629735550) is an individual student in an organized health care education/training program in Atlanta, Georgia and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629735550

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameREBECCA ANGELA PANKOVE

Location Address100 WOODRUFF CIR NEAtlanta, GA 30322-1020

Mailing Address100 Woodruff Cir NeAtlanta, GA 30322-1020 · (404) 727-5655

Phone(404) 727-5655

Sole ProprietorNo

Enumeration DateNovember 27, 2021

Last NPPES UpdateDecember 9, 20212 updates tracked since enumeration

NPPES CertifiedDecember 9, 2021

✔ NPI 1629735550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

100 WOODRUFF CIR NE, Atlanta, GA 30322

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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 Angela Pankove 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.

Other Providers at the Same Location NPPES 20

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

QSANET TEKIE

Student in an Organized Health Care Education/Training Program