Individual provider Active NPI

Rachel Middleton Spagnoli

  • Nurse Practitioner
  • Alpharetta, GA
National Provider Identifier
1255890943
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN222965 Issued in GA
Practice address
3400 Old Milton Pkwy Ste A510
Alpharetta, GA 30005-3750
Phone
(470) 297-0418
NPI assigned
Mar 13, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN222965 GA
Nurse Practitioner 363L00000X RN222965 GA Primary

Addresses

Primary practice location

3400 Old Milton Pkwy Ste A510
Alpharetta, GA 30005-3750

Mailing address

3400 Old Milton Pkwy Ste A510
Alpharetta, GA 30005-3750
Phone (470) 297-0418

Other practice location 1

10700 Medlock Bridge Rd Ste 207
Duluth, GA 30097-8455
Phone (770) 559-8716

Other practice location 2

6325 Hospital Pkwy
Johns Creek, GA 30097-5775
Phone (678) 474-7000

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
I20201111003075 GA Practitioner - Nurse Practitioner 0547670093

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice Center, P.C. CurrentSince Oct 1, 2023 Accepting new patients

Locations

3400 Old Milton Pkwy
Ste A510
Alpharetta, GA 30005
Phone (470) 291-0605

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1255890943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 OLD MILTON PKWY STE A510",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300053750",
            "telephone_number": "470-297-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 OLD MILTON PKWY STE A510",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300053750",
            "telephone_number": "470-297-0418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10700 Medlock Bridge Rd Ste 207",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "300978455",
            "country_code": "US",
            "telephone_number": "770-559-8716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6325 Hospital Pkwy",
            "address_purpose": "LOCATION",
            "city": "Johns Creek",
            "state": "GA",
            "postal_code": "300975775",
            "country_code": "US",
            "telephone_number": "678-474-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPAGNOLI",
        "first_name": "RACHEL",
        "middle_name": "MIDDLETON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-13",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN222965",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN222965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.