Active NPI
Rachel Alexandra Smith-Blevins, NP
- Adult Health Nurse Practitioner
- Pooler, GA
National Provider Identifier
1326513342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- RN209478
- Practice address
- 114 Canal St Ste 603
Pooler, GA 31322-4292 - Phone
- (912) 303-0005
- NPI assigned
- Oct 5, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | RN209478 | GA | Primary |
Addresses
Primary practice location
114 Canal St Ste 603
Pooler, GA 31322-4292
Mailing address
114 Canal St Ste 603
Pooler, GA 31322-4292
Phone (912) 303-0005
Other practice location 1
329 Eisenhower Dr Ste D
Savannah, GA 31406-2695
Phone (912) 351-0005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN209478 | GA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regenerative Healthcare, LLC | Past | Accepting new patients | |
| Wetherington Chiropractic Clinic | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Savannah, GA
- NPI 1841769718
-
- Chiropractor
- Savannah, GA
- NPI 1699195156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538784000000",
"number": "1326513342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 CANAL ST STE 603",
"city": "POOLER",
"state": "GA",
"postal_code": "313224292",
"telephone_number": "912-303-0005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 CANAL ST STE 603",
"city": "POOLER",
"state": "GA",
"postal_code": "313224292",
"telephone_number": "912-303-0005"
}
],
"practiceLocations": [
{
"address_1": "329 Eisenhower Dr Ste D",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "GA",
"postal_code": "314062695",
"country_code": "US",
"telephone_number": "912-351-0005",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH-BLEVINS",
"first_name": "RACHEL",
"middle_name": "ALEXANDRA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-05",
"last_updated": "2018-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "GA",
"license": "RN209478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pooler, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.