Individual provider Active NPI

Racheal Gilchrist Jay

  • Family Nurse Practitioner
  • Lilburn, GA
National Provider Identifier
1346625043
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP219822 Issued in GA
Practice address
976 Killian Hill Rd SW
Lilburn, GA 30047-3102
Phone
(770) 752-4141
NPI assigned
Jul 23, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-NP219822 GA Primary
Registered Nurse 163W00000X RN219822 GA

Addresses

Primary practice location

976 Killian Hill Rd SW
Lilburn, GA 30047-3102

Mailing address

1544 Wellborn Rd Unit 1421
Lithonia, GA 30074-1515

Other names 1

  • Racheal Jay Former 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
I20220406002429 GA Practitioner - Nurse Practitioner 5698161230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1825 Hwy 34 E
Suite 1200
Newnan, GA 30265

1825 Hwy 34 E
Suite 1200
Newnan, GA 30265-6416

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN219822GAMDRegistered Nurse
APRN-NP219822GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peach State Emergency Physicians LLC CurrentSince Jan 1, 2025 Accepting new patients
Learn Today Save Lives Tomorrow CurrentSince Jan 12, 2020 Accepting new patients

Locations

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

2260 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 481-7000

2460 Washington Rd
Thomson, GA 30824
Phone (706) 595-1411

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.

NPI Registry JSON

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1346625043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1544 WELLBORN RD UNIT 1421",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300741515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "976 KILLIAN HILL RD SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473102",
            "telephone_number": "770-752-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAY",
        "first_name": "RACHEAL",
        "middle_name": "GILCHRIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-23",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP219822",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN219822",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEAL",
            "last_name": "JAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lilburn, GA

Sources for this page

Verify at the official NPI Registry.