Scott Lawrence Rupp, MD

General Practice Physician · Moody Afb, GA

Individual Active NPI

NPI number 1578125225

Practice location

3280 Mitchell Blvd
Moody Afb, GA 31699-3018
Phone
(229) 257-9581

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NPI record

NPI
1578125225
Entity type
Individual (Type 1)
Enumeration date
July 2, 2019
Last updated
June 11, 2025
Certified
June 11, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Physician Primary 208D00000X 97048 GA
Emergency Medicine Physician 207P00000X 97048 GA

Mailing address

3280 Mitchell Blvd
Moody Afb, GA 31699-1500
Phone
(229) 257-9581

Other practice locations (1)

  • 5501 Old York Rd, Philadelphia, PA 19141-3018 · (800) 346-7834

About Dr. Rupp

Scott Lawrence Rupp, MD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 3280 Mitchell Blvd, Moody Afb, GA 31699-3018. The NPI number 1578125225 was assigned on July 2, 2019 and the record was last updated on June 11, 2025.

Dr. Rupp lists 2 licenses in the registry: #97048 (GA) for General Practice Physician; #97048 (GA) for Emergency Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Scott Lawrence Rupp, MD?

The NPI number is 1578125225.

What is the phone number of Dr. Rupp?

The phone number listed for the practice location is (229) 257-9581.

Where is Dr. Rupp located?

3280 Mitchell Blvd, Moody Afb, GA 31699-3018.

What is the taxonomy code for Dr. Rupp?

The primary taxonomy code is 208D00000X – General Practice Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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