Individual provider Active NPI

Rachel Arnett Eicher

  • Medical Physician Assistant
  • Augusta, GA
National Provider Identifier
1164906996
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
8909 Issued in GA
Practice address
1367 Interstate Pkwy
Augusta, GA 30909-5626
Phone
(770) 865-5530
NPI assigned
Sep 18, 2018
Last updated
Sep 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 8909 GA Primary

Addresses

Primary practice location

1367 Interstate Pkwy
Augusta, GA 30909-5626

Mailing address

3390 Peachtree Rd NE Ste 1500
Atlanta, GA 30326-2822
Phone (770) 865-5530

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
I20181017000593 GA Practitioner - Physician Assistant 6507118791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1388 Wellbrook Necir a
Conyers, GA 30012-3872
Phone (770) 929-9033

Merit-based Incentive Payment System (MIPS)

Final score
83.66 of 100Reported as group
Quality
74.46
Promoting interoperability
99
Improvement activities
40
Cost
71.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8909GAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Interventional Spine and Pain Management Center PC Single Specialty CurrentSince Sep 1, 2018 Accepting new patients
The Interventional Spine and Pain Management Center, PC Single Specialty CurrentSince Sep 1, 2018 Accepting new patients
The Interventional Spine and Pain Management Center PC Single Specialty Past Accepting new patients
Interventional Spine and Pain Management Center, PC Single Specialty Past Accepting new patients
The Interventional Spine and Pain Management Center, PC Single Specialty Past Accepting new patients

Locations

3390 Peachtree Rd NE
Ste 1500
Atlanta, GA 30326
Phone 40492049502501

3885 Princeton Lakes Way SW
Atlanta, GA 30331
Phone (404) 349-0496

1367 Interstate Pkwy
Augusta, GA 30909
Phone (706) 863-3135

3870 Medical Park Dr
Austell, GA 30106
Phone (770) 732-3649

134 Riverstone Ter
Canton, GA 30114

812 S Park St
Carrollton, GA 30117
Phone (770) 834-7436

15 Medical Dr NE
Cartersville, GA 30121
Phone (770) 386-4347

1388 Wellbrook Cir NE
Conyers, GA 30012

1388 Wellbrook Cir NE
#A
Conyers, GA 30012
Phone (770) 385-7985

3400 Chapel Hill Rd
Douglasville, GA 30135
Phone (404) 973-8920

620 J L White Dr
Ste 140
Jasper, GA 30143
Phone (706) 253-3500

4799 Sugarloaf Pkwy
Lawrenceville, GA 30044
Phone (404) 920-4959

400 Tower Rd NE
Marietta, GA 30060
Phone (770) 514-7550

Interoperability endpoints

  • Direct secure messaging: rachel.eicher@ispm.eclinicaldirectplus.com

Organizations & group practices 5

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": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1164906996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3390 PEACHTREE RD NE STE 1500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303262822",
            "telephone_number": "770-865-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1367 INTERSTATE PKWY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309095626",
            "telephone_number": "770-865-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICHER",
        "first_name": "RACHEL",
        "middle_name": "ARNETT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-18",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "8909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.