Individual provider Active NPI

Rainey Reanna Olliff, PA-C

  • Medical Physician Assistant
  • Saint Simons Island, GA
National Provider Identifier
1073023461
Registry record updated Oct 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
1223 Forest St
Saint Simons Island, GA 31522-4214
Phone
(912) 675-5578
NPI assigned
Oct 11, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Medical Physician Assistant 363AM0700X GA Primary

Addresses

Primary practice location

1223 Forest St
Saint Simons Island, GA 31522-4214

Mailing address

1223 Forest St
Saint Simons Island, GA 31522-4214
Phone (912) 675-5578

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180817002089 GA Practitioner - Physician Assistant 1557610953 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Primary Care Partners LLCGroup PAC ID 8022554526, 20 clinicians

Practice addresses (Care Compare)

60 Exchange St
Suite B7
Richmond Hill, GA 31324-7646
Phone (912) 756-2273

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Primary Care Partners, LLC CurrentSince Apr 1, 2026 Accepting new patients
Emergency Physicians Inc CurrentSince Feb 15, 2018 Accepting new patients
The Urgent Care Center of Richmond Hill, LLC PastSince Aug 27, 2023 Accepting new patients
Otashe Golden, MD, Inc. Past Accepting new patients

Locations

2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079

632 W Oglethorpe Hwy
Hinesville, GA 31313
Phone (912) 430-4545

2201 Pooler Pkwy
Ste 700
Pooler, GA 31322
Phone (912) 756-2273

60 Exchange St
Ste B7
Richmond Hill, GA 31324
Phone (912) 756-2273

463 S Columbia Ave
#A
Rincon, GA 31326
Phone (912) 812-1001

318 Mall Blvd
Ste 300B
Savannah, GA 31406
Phone (912) 358-1515

818 Abercorn St
Savannah, GA 31401
Phone (912) 756-2273

121 Tormenta Way
Statesboro, GA 30458
Phone (912) 680-0020

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507680000000",
    "number": "1073023461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 FOREST ST",
            "city": "SAINT SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315224214",
            "telephone_number": "912-675-5578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 FOREST ST",
            "city": "SAINT SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315224214",
            "telephone_number": "912-675-5578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLLIFF",
        "first_name": "RAINEY",
        "middle_name": "REANNA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-11",
        "last_updated": "2017-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Simons Island, GA

Sources for this page

Verify at the official NPI Registry.