NPI age
14 years
Enumerated 2011-08-04
● Active Type 2 · Organization
Rehoboth Miracle Llc
Rehoboth Miracle Llc is 1 of 62 exclusive provider organization organizations in Georgia.
Primary specialty
Exclusive Provider Organization
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ramsay
President
Last NPPES update
2011-08-04
Source: monthly bulk 2026-05
How this organization compares
Across 62 active exclusive provider organization providers in Georgia.
NPI age
14 years
↑ 1 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2011 → 2026
2011-08Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
140 Shiver Blvd
Covington, GA 300161399
Mailing address
140 Shiver Blvd
Covington, GA 300161399
Authorized official
Debrah Olive Ann Ramsay, COLL CERT IND REL
President
📞 6787126073
Specialties
-
Exclusive Provider Organization Primary(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 107 R 0894 | GEORGIA DEPARTMENT OF COMMUNITY HEALTH |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Rehoboth Miracle Healthcare Services
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.