Rachel Kathleen Poage, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN268780 Issued in GA

Practice address

3500 Duluth Park LN Ste 220
Duluth, GA 30096-3230

Phone

(678) 878-2808

NPI assigned

Dec 3, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EIGGBD/Endpoint/EIGGBD

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.

• Tanner Medical Group Inc

  • Cardiovascular Disease Physician
  • Carrollton, GA
  • NPI 1396979787
  Medicare reassignment NPD
• Duluth Children'S Medicine, PC

  • Pediatrics Physician
  • Duluth, GA
  • NPI 1134592983
  NPD (past)
• The M Center for Integrative Wellness

  • Pediatric Adolescent Medicine Physician
  • Roswell, GA
  • NPI 1528623774
  NPD (past)

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1124598123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 171",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300240002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 DULUTH PARK LN STE 220",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963230",
            "telephone_number": "678-878-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POAGE",
        "first_name": "RACHEL",
        "middle_name": "KATHLEEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-03",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN268780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pioneer Acquisiton Corp
• Play 21 Wellness Academy LLC
• Pleasant Hill Chiropractic
• Plexusdx LLC
• Michele Barri Pliskin
• Venkata Kiran Pokuri, MD
• Arun Anandrao Pol, M.D.
• Mathew William Pombo, M.D.
• Inger Pompey
• Isabella Porrazzo

• Pediatric Nurse Practitioner in Duluth, GA
• Providers in Duluth, GA by specialty
• Pediatric Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.