Active NPI
Rita Raynel Givens, FNP-BC
- Family Nurse Practitioner
- Stockbridge, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN-NP279572
- Practice address
- 830 Eagles Landing Pkwy Ste 204
Stockbridge, GA 30281-7366 - Phone
- (770) 962-3642
- Fax
- (770) 962-3643
- NPI assigned
- Mar 16, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN-NP279572 | GA | Primary |
Addresses
Primary practice location
830 Eagles Landing Pkwy Ste 204
Stockbridge, GA 30281-7366
Mailing address
455 Philip Blvd Ste 140
Lawrenceville, GA 30046-8768
Phone (770) 962-3642
Other practice location 1
484 Irvin Ct Ste 110
Decatur, GA 30030-5406
Phone (770) 962-3642
Other practice location 2
1501 Milstead Rd NE Ste 190
Conyers, GA 30012-3850
Phone (770) 962-3642
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
455 Philip Blvd
Suite 140
Lawrenceville, GA 30046-8768
Phone (770) 962-3642
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN-NP279572 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Pain and Wellness Center | Current | Accepting new patients | |
| Georgia Pain and Wellness Center | Current | Accepting new patients |
Locations
1501 Milstead Rd NE
Ste 190
Conyers, GA 30012
Phone (770) 760-9900
484 Irvin Ct
Ste 110
Decatur, GA 30030
Phone (404) 292-4057
455 Philip Blvd
Ste 140
Lawrenceville, GA 30046
Phone (787) 618-5889
830 Eagles Landing Pkwy
Ste 204
Stockbridge, GA 30281
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Lawrenceville, GA
- NPI 1356781181
-
- Interventional Pain Medicine Physician
- Newnan, GA
- NPI 1427820190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760572800000",
"number": "1003517947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 PHILIP BLVD STE 140",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300468768",
"telephone_number": "770-962-3642",
"fax_number": "770-962-3643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 EAGLES LANDING PKWY STE 204",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302817366",
"telephone_number": "770-962-3642",
"fax_number": "770-962-3643"
}
],
"practiceLocations": [
{
"address_1": "484 Irvin Ct Ste 110",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "GA",
"postal_code": "300305406",
"country_code": "US",
"telephone_number": "770-962-3642",
"fax_number": "770-962-3643",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1501 Milstead Rd NE Ste 190",
"address_purpose": "LOCATION",
"city": "Conyers",
"state": "GA",
"postal_code": "300123850",
"country_code": "US",
"telephone_number": "770-962-3642",
"fax_number": "770-962-3643",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIVENS",
"first_name": "RITA",
"middle_name": "RAYNEL",
"name_prefix": "Ms.",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-16",
"last_updated": "2025-10-16",
"certification_date": "2025-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "APRN-NP279572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockbridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.