Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Rebekah Ellen Mellor Ketterman

Individual provider Family Nurse Practitioner · NPI 1255923637

Rebekah Ellen Mellor Ketterman is a Nurse Practitioner in Gainesville, Georgia. Qualified in 2020, 6 years ago. Accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
6
Licensed in
GA
In the registry since
2021
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Practice location Address checks out

961 Green St NW
Gainesville, GA 30501-3325
Phone: (770) 534-0656
Fax: (770) 534-9553
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN195615 (GA)

Record details

NPI number1255923637
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 8, 2021
Last updated in NPPESAugust 19, 2025
Certification dateAugust 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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