Healthcare Provider Details

I. General information

NPI: 1225604812
Provider Name (Legal Business Name): REBECCA KEIPPER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2021
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

355 HAWTHORNE LN
ATHENS GA
30606-2153
US

IV. Provider business mailing address

5780 PEACHTREE DUNWOODY RD STE 300
ATLANTA GA
30342-1513
US

V. Phone/Fax

Practice location:
  • Phone: 706-369-0019
  • Fax: 706-369-1989
Mailing address:
  • Phone: 404-303-1224
  • Fax: 404-303-8035

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number103729
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: