DR. STEPHEN A JR. RUBENDALL (M.D.) – Family Medicine Physician, NPI 1851345284

DR. STEPHEN A JR. RUBENDALL (M.D.) is a healthcare provider. based in Camilla, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 057320 (GA). The NPI Number for DR. STEPHEN A JR. RUBENDALL (M.D.) is 1851345284

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. STEPHEN A JR. RUBENDALL (M.D.)
NPI
1851345284
Phone
(229) 336-1949
Address
259 US HIGHWAY 19 NORTH
Enumeration Date
20 May 2006
Last Update Date
10 April 2019

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
2293365284
Graduation Year
2003 (23 years ago)
PAC ID
6103891635
Group Practice PAC ID
6002724598
Professional Enrollment ID
I20060801000246
Address ID
GA317301807CA97XXXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,102 FAMILY PRACTICE in GA

Provider Addresses for DR. STEPHEN A JR. RUBENDALL (M.D.)

  • 259 US HIGHWAY 19 NORTH

    CAMILLA, GA 317301410

    Phone: (229) 336-1949

    Fax: (229) 336-1436

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2024-11-04 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
GlaxoSmithKline, LLC.$18
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-04-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060801000246IFamily PracticeGATBD
I20200406001665IFamily PracticeNCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31730)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002724598View full group profile
NameSpecialtyState
-GA
Diagnostic RadiologyMN
Nurse PractitionerGA
Nurse PractitionerGA
Diagnostic RadiologyMN
Diagnostic RadiologyFL
Nuclear Medicine, Diagnostic RadiologyGA
Diagnostic RadiologyFL
Diagnostic RadiologyGA
-GA

Reviews

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Frequently asked questions

What is DR. STEPHEN A JR. RUBENDALL (M.D.)'s NPI number?
DR. STEPHEN A JR. RUBENDALL (M.D.)'s NPI is 1851345284 — the number used across U.S. healthcare to identify this provider.
Is DR. STEPHEN A JR. RUBENDALL (M.D.) shown as active in public data?
Registry records indicate DR. STEPHEN A JR. RUBENDALL (M.D.) maintains an active NPI.
What clinical focus is listed for DR. STEPHEN A JR. RUBENDALL (M.D.)?
At a glance, DR. STEPHEN A JR. RUBENDALL (M.D.) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. STEPHEN A JR. RUBENDALL (M.D.)?
Directory geography for DR. STEPHEN A JR. RUBENDALL (M.D.) centers on Camilla, Georgia.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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