P Praxis·MD
● Active Type 1 · Individual

Rebecca Condon Staub, MD

Pediatrics·Tifton, GA· NPI 1184042228 · Enumerated 2014 · 12 years on NPI
Staub is 1 of 22 pediatrics providers in Tifton and 1 of 2726 in Georgia.
NPI age
12 years
Enumerated 2014-04-05
Primary specialty
Pediatrics
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-10-20
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2726 active pediatrics providers in Georgia.

NPI age
12 years
↓ 6 yr below median (18 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
1
In the 23% of peers with subspecialties

NPI lifetime · 2014 → 2026

2014-04Enumerated in NPPES
2014 2026

Where they practice

Practice location
39 Kent Rd Ste 5
Tifton, GA 317941697
📞 2293537337
Mailing address
907 E 18th Street, Suite 150
Tifton, GA 31794
📞 2293533450fax 2293536060

Specialties

  • Pediatrics Primary
    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...
    GA license #075158 taxonomy 208000000X
  • Student in an Organized Health Care Education/Training Program
    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.
    taxonomy 390200000X

Practice context

Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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