Individual provider Active NPI

Rachael L Sweeney, NP-BC

  • Nurse Practitioner
  • Thomaston, GA
National Provider Identifier
1083064539
Registry record updated Nov 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN199221 Issued in GA
Practice address
801 W Gordon St
Thomaston, GA 30286-3426
Phone
(706) 647-8111
NPI assigned
Jun 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Flight Registered Nurse 163WF0300X RN199221 GA
Family Nurse Practitioner 363LF0000X RN199221 GA
Acute Care Nurse Practitioner 363LA2100X RN199221 GA
Nurse Practitioner 363L00000X RN199221 GA Primary

Addresses

Primary practice location

801 W Gordon St
Thomaston, GA 30286-3426

Mailing address

72 Mustang TRL
Waverly Hall, GA 31831-2399
Phone (801) 842-3776

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
I20160811002119 GA Practitioner - Nurse Practitioner 7618261769 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN199221GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hightower Emergency Group, PC Nurse Practitioner CurrentSince Mar 1, 2018 Accepting new patients
Acs Primary Care Physicians - Southeast PC Nurse Practitioner CurrentSince Oct 1, 2016 Accepting new patients
Emergency Group of Columbus, LLC CurrentSince Dec 30, 2017 Accepting new patients

Locations

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

101 Lake Oconee Pkwy
Eatonton, GA 31024
Phone (706) 485-0907

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478217600000",
    "number": "1083064539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 MUSTANG TRL",
            "city": "WAVERLY HALL",
            "state": "GA",
            "postal_code": "318312399",
            "telephone_number": "801-842-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W GORDON ST",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302863426",
            "telephone_number": "706-647-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEENEY",
        "first_name": "RACHAEL",
        "middle_name": "L",
        "credential": "NP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WF0300X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Flight",
            "state": "GA",
            "license": "RN199221",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN199221",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "RN199221",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN199221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomaston, GA

Sources for this page

Verify at the official NPI Registry.