Individual provider Active NPI

Rachel Farmer Ducharme, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Carrollton, GA
National Provider Identifier
1407443252
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10123 Issued in GA
Practice address
527 Tanner St
Carrollton, GA 30117-3318
Phone
(678) 390-6575
Fax
(678) 390-6585
NPI assigned
Dec 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10123 GA Primary

Addresses

Primary practice location

527 Tanner St
Carrollton, GA 30117-3318

Mailing address

65 Cottage Way
Carrollton, GA 30117-7019

Other practice location 1

820 Maple St
Carrollton, GA 30117-3626
Phone (678) 390-7915

Other practice location 2

1009 Alabama Ave S
Bremen, GA 30110-2501
Phone (678) 821-6400

Other identifiers 1

IdentifierTypeStateIssuer
1861915647OtherGAGROUP NPI

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
I20210702000859 GA Practitioner - Physician Assistant 8729489372 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
3:16 Urgent Care LLC CurrentSince Jan 14, 2026 Accepting new patients

Locations

1009 Alabama Ave S
Bremen, GA 30110
Phone (678) 821-1660

820 Maple St
Carrollton, GA 30117
Phone (678) 390-7900

Interoperability endpoints

  • Direct secure messaging: rachel.ducharme.1@22071.direct.athenahealth.com

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": "1609113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1407443252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 COTTAGE WAY",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301177019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 TANNER ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173318",
            "telephone_number": "678-390-6575",
            "fax_number": "678-390-6585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 Maple St",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "GA",
            "postal_code": "301173626",
            "country_code": "US",
            "telephone_number": "678-390-7915",
            "fax_number": "678-390-7901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1009 Alabama Ave S",
            "address_purpose": "LOCATION",
            "city": "Bremen",
            "state": "GA",
            "postal_code": "301102501",
            "country_code": "US",
            "telephone_number": "678-821-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUCHARME",
        "first_name": "RACHEL",
        "middle_name": "FARMER",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-28",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "10123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1861915647",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

Verify at the official NPI Registry.