Active NPI
Autumn Danielle Rafford, FNP-C
- Family Nurse Practitioner
- Kathleen, GA
National Provider Identifier
1366925893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN211585
- Practice address
- 123 Bear Branch Rd
Kathleen, GA 31047-2404 - Phone
- (678) 371-2798
- NPI assigned
- Sep 11, 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN211585 | GA | Primary |
Addresses
Primary practice location
123 Bear Branch Rd
Kathleen, GA 31047-2404
Mailing address
123 Bear Branch Rd
Kathleen, GA 31047-2404
Phone (678) 371-2798
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TLC of Georgia LLC | Family | Current | Accepting new patients |
Locations
455 Nathan Dean Blvd
Dallas, GA 30132
Phone (770) 443-8776
4321 Hartley Bridge Rd
Macon, GA 31216
Phone (478) 788-1015
3600 Dallas Hwy SW
Marietta, GA 30064
Phone (770) 420-9170
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": "1536624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536624000000",
"number": "1366925893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 BEAR BRANCH RD",
"city": "KATHLEEN",
"state": "GA",
"postal_code": "310472404",
"telephone_number": "678-371-2798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 BEAR BRANCH RD",
"city": "KATHLEEN",
"state": "GA",
"postal_code": "310472404",
"telephone_number": "678-371-2798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAFFORD",
"first_name": "AUTUMN",
"middle_name": "DANIELLE",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-11",
"last_updated": "2018-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN211585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kathleen, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.