Rachelle Cariello Crutchfield, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

7525 Issued in GA

Practice address

3150 Roswell Rd NW
Atlanta, GA 30305-1858

Phone

(770) 637-2919

NPI assigned

Sep 16, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• Rachelle Cariello Former name

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Emergency Care of Atlanta Inc

  • Emergency Medicine Physician
  • Atlanta, GA
  • NPI 1093770091
  Medicare reassignment
• Piedmont Ed Professionals, LLC

  • Emergency Medicine Physician
  • Atlanta, GA
  • NPI 1932477429
  Medicare reassignment
• Lavender Inpatient Services LLC

  • Internal Medicine Physician
  • Cartersville, GA
  • NPI 1902215767
  NPD (past)
• Maroon Bells Emergency Physicians LLC

  • Emergency Medicine Physician
  • Snellville, GA
  • NPI 1023427895
  NPD (past)
• Mount Lassen Emergency Physicians LLC

  • Emergency Medicine Physician
  • Cartersville, GA
  • NPI 1730598590
  NPD (past)
• Florida Em-I Medical Services PA

  • Nurse Practitioner
  • Lighthouse Point, FL
  • NPI 1831531581

  Physician Assistant

  NPD (past)
• Old Fields Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Tallahassee, FL
  • NPI 1447692926
  NPD (past)
• Quincy Creek Emergency Physicians LLC

  • Emergency Medicine Physician
  • Quincy, FL
  • NPI 1730521352
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1023444601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 ROSWELL RD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051858",
            "telephone_number": "770-637-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 ROSWELL RD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051858",
            "telephone_number": "770-637-2919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1968 Peachtree Rd NW",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303091281",
            "country_code": "US",
            "telephone_number": "404-605-2800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2626 Capital Medical Blvd",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323084402",
            "country_code": "US",
            "telephone_number": "850-325-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUTCHFIELD",
        "first_name": "RACHELLE",
        "middle_name": "CARIELLO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-16",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9107332",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "7525",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "7525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHELLE",
            "last_name": "CARIELLO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Hunter Crumpler
• Tajane Jazz Crumpler, AMFT
• Alyssa Rose Cruse
• Bonnie Leigh Cruser, MD
• Brooke Crutchfield, CPNP
• Tayler Crutchley
• Esmerardo Cruz Morales, FNP NP-C
• Grissel Cruz-Albuoy
• Paulina Cruz-Venegas, MD
• Anna Rebecca Cruz, MD

• Physician Assistant in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.