Individual provider Active NPI

Austin Glen Rawlins

  • Family Nurse Practitioner
  • Conyers, GA
National Provider Identifier
1265132286
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN283400 Issued in GA
Practice address
1301 Wellbrook Cir NE
Conyers, GA 30012-3873
Phone
(770) 922-3023
NPI assigned
Mar 8, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN283400 GA Primary

Addresses

Primary practice location

1301 Wellbrook Cir NE
Conyers, GA 30012-3873

Mailing address

PO Box 543
Zebulon, GA 30295-0543
Phone (770) 584-8371

Other practice location 1

765 Lanier 400 Pkwy # A
Cumming, GA 30040-2539
Phone (770) 205-1294

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
I20230501002116 GA Practitioner - Nurse Practitioner 5294190005 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Medical Care CorporationGroup PAC ID 6002802220, 368 clinicians

Practice addresses (Care Compare)

105 Collier Rd NW
Suite 5020
Atlanta, GA 30309-1731
Phone (404) 367-3210

1301 Wellbrook Cir NE
Conyers, GA 30012-3873
Phone (770) 922-3023

765 Lanier 400 Pkwy
Cumming, GA 30040-2539
Phone (770) 205-1294

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Primary Care Professional Services, LLC CurrentSince Apr 19, 2023 Accepting new patients
Northside Primary Care Professional Services,LLC CurrentSince Apr 19, 2023 Accepting new patients
Cumming Family Medicine Inc CurrentSince May 17, 2025 Accepting new patients

Locations

765 Lanier 400 Pkwy
#A
Cumming, GA 30040
Phone (770) 205-1294

765 Lanier 400 Pkwy
Cumming, GA 30040
Phone (770) 205-1294

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

3350 Paddocks Pkwy
Suwanee, GA 30024
Phone (678) 474-9633

Organizations & group practices 4

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": "1678233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1265132286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 543",
            "city": "ZEBULON",
            "state": "GA",
            "postal_code": "302950543",
            "telephone_number": "770-584-8371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 WELLBROOK CIR NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123873",
            "telephone_number": "770-922-3023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "765 Lanier 400 Pkwy # A",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300402539",
            "country_code": "US",
            "telephone_number": "770-205-1294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAWLINS",
        "first_name": "AUSTIN",
        "middle_name": "GLEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-08",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN283400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

Verify at the official NPI Registry.