Individual provider Active NPI

Luella L. Rhodes, PA, CLD, CCCE

  • Doula
  • Columbus, GA
National Provider Identifier
1073254249
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
License
PR8-20216 Issued in GA
Practice address
1220 Wildwood Ave
Columbus, GA 31906-2538
Phone
(706) 596-1171
Fax
(706) 571-0675
NPI assigned
Apr 4, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X PR8-20216 GA Primary

Addresses

Primary practice location

1220 Wildwood Ave
Columbus, GA 31906-2538

Mailing address

1220 Wildwood Ave
Columbus, GA 31906-2538
Phone (706) 596-1171

Other practice location 1

106 W 4th Avenue
Buena Vista, GA 31803
Phone (229) 733-1776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PR8-20216GAMDDoula

NPI Registry JSON

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

{
    "created_epoch": "1649030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1073254249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 WILDWOOD AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319062538",
            "telephone_number": "706-596-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 WILDWOOD AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319062538",
            "telephone_number": "706-596-1171",
            "fax_number": "706-571-0675"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 W 4th Avenue",
            "address_purpose": "LOCATION",
            "city": "Buena Vista",
            "state": "GA",
            "postal_code": "31803",
            "country_code": "US",
            "telephone_number": "229-733-1776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RHODES",
        "first_name": "LUELLA",
        "middle_name": "L.",
        "credential": "PA, CLD, CCCE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-04",
        "last_updated": "2022-04-04",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "GA",
            "license": "PR8-20216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.