Individual provider Active NPI

Ayanna Thomas-Rentz

  • Physician Assistant
  • Peachtree City, GA
National Provider Identifier
1225627227
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10571 Issued in GA
Practice address
1280 Highway 74 S Ste E
Peachtree City, GA 30269-3077
Phone
(678) 961-5150
NPI assigned
Jan 13, 2021
Last updated
Apr 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9114033 FL
Physician Assistant 363A00000X 10571 GA Primary

Addresses

Primary practice location

1280 Highway 74 S Ste E
Peachtree City, GA 30269-3077

Mailing address

915 W Peachtree St NW Unit 515
Atlanta, GA 30309-4621
Phone (727) 254-2614

Other names 1

  • Ayanna Rentz Other name

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
I20220823004284 GA Practitioner - Physician Assistant 9133502164 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstreet of Georgia PCGroup PAC ID 7517126279, 425 clinicians

Practice addresses (Care Compare)

1155 Concord Rd SE
Suite 200
Smyrna, GA 30080-4255
Phone (678) 600-5137

2292 Peachtree Rd
Atlanta, GA 30309-1147
Phone (404) 382-9941

2520 N Decatur Rd
Decatur, GA 30033-6117
Phone (678) 685-8100

2810 Paces Ferry Rd SE
Suite 156
Atlanta, GA 30339-5700
Phone (470) 750-1301

3617 Roswell Nerd a
Atlanta, GA 30305-1111
Phone (404) 996-0196

572 Hank Aaron Dr
Suite 4200
Atlanta, GA 30312-2896
Phone (678) 535-0170

6660 Roswell Nerd
Sandy Springs, GA 30328-3167
Phone (404) 996-0195

882 Ponce de Leon Ave
Atlanta, GA 30306-4268
Phone (770) 809-3034

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9114033FLMDPhysician Assistant
10571GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstreet of Georgia PC CurrentSince Nov 1, 2022 Accepting new patients
Jeffrey a. Sherman, MD, PC Past Accepting new patients

Locations

2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941

Interoperability endpoints

  • Direct secure messaging: ayanna.thomas-rentz.1@24615.direct.athenahealth.com

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": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1225627227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 W PEACHTREE ST NW UNIT 515",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303094621",
            "telephone_number": "727-254-2614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 HIGHWAY 74 S STE E",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693077",
            "telephone_number": "678-961-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS-RENTZ",
        "first_name": "AYANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-13",
        "last_updated": "2022-04-27",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9114033",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "10571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AYANNA",
            "last_name": "RENTZ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Peachtree City, GA

Sources for this page

Verify at the official NPI Registry.