1. Home
  2. Directory
  3. Georgia
  4. Douglas
  5. Nurse Practitioner
  6. NPI Profile

DEBRA D RATHBUN NP
NPI 1972969160
Nurse Practitioner - Family in Douglas, GA

Active since January 05, 2016PECOS EnrolledAccepts Medicare Assignment
98.26/100
CMS Quality Rating
1025 KIRKLAND LN, DOUGLAS, GA 31533(912) 208-5680 Get Directions Write a Review

NPPES record last updated: March 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 26, 2019, Jan 29, 2016 (2 updates tracked since 2016).

About Debra D Rathbun Np NPPES

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

DEBRA D RATHBUN NP (NPI 1972969160) is an individual family provider in Douglas, Georgia, licensed in Georgia (RN118146) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fitzgerald, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1972969160
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDEBRA D RATHBUNCredential: NP
Location Address1025 KIRKLAND LNDouglas, GA 31533-2043
Mailing Address192 Lobinger AveFitzgerald, GA 31750-8181 · (229) 425-3809
Phone(912) 208-5680
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 5, 2016
Last NPPES UpdateMarch 12, 20242 updates tracked since enumeration
NPPES CertifiedMarch 12, 2024
✔ NPI 1972969160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN118146
Also ListedGeneral Acute Care Hospital · RuralTaxonomy 282NR1301X · License RN118146 (GA)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 118146 (GA)
1025 KIRKLAND LN, Douglas, GA 31533
Open in Google Maps ↗

Secondary Practice Location 1

Location 1192 Lobinger AveFitzgerald, GA 31750-8181 · Phone (229) 425-3809

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Debra D Rathbun Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436453735
PECOS Enrollment IDI20160208000296
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
42 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31533 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.

98.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.42
Improvement Activities40
Cost77.79

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 Debra Rathbun's NPI number?

The NPI number for Debra Rathbun is 1972969160. It was assigned to this individual provider in the NPPES registry on January 5, 2016.

Where is Debra Rathbun located?

Debra Rathbun practices at 1025 Kirkland Ln, Douglas, GA 31533. The listed phone number is (912) 208-5680.

What is Debra Rathbun's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Debra Rathbun enrolled in Medicare?

Yes. Debra Rathbun is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Debra Rathbun accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Debra Rathbun as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Debra Rathbun 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.