Individual provider Active NPI

Rachel Pocock Shah, MD

  • Internal Medicine Physician
  • Lilburn, GA
National Provider Identifier
1457892770
Registry record updated Jan 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
085985 Issued in GA
Practice address
455 Beaver Ruin Rd NW
Lilburn, GA 30047-3413
Phone
(770) 923-7778
Fax
(770) 806-1383
NPI assigned
Mar 20, 2017
Last updated
Jan 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 085985 GA Primary

Addresses

Primary practice location

455 Beaver Ruin Rd NW
Lilburn, GA 30047-3413

Mailing address

10600 Medlock Bridge Rd
Duluth, GA 30097-8404

Other practice location 1

3490 Pleasant Hill Rd
Duluth, GA 30096-3188
Phone (770) 814-2870

Other practice location 2

3068 Old Norcross Rd
Duluth, GA 30096-4914
Phone (770) 925-7232

Other practice location 3

475 Philip Blvd Ste 100
Lawrenceville, GA 30046-8736
Phone (770) 995-3300

Other practice location 4

5595 Peachtree Pkwy
Norcross, GA 30092-2551
Phone (770) 242-8001

Other names 1

  • Rachel Hannah Pocock 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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200723003736 GA Practitioner - Internal Medicine 1759651516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Emory University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gwinnett Clinic, LTDGroup PAC ID 9436061801, 44 clinicians

Practice addresses (Care Compare)

3068 Old Norcross Rd
Duluth
Ga, GA 30096-4914
Phone (770) 925-7232

3490 Pleasant Hill Rd
Duluth, GA 30096-3188
Phone (770) 814-2870

475 Philip Blvd
Lawrenceville, GA 30046-8736

475 Philip Blvd
Lawrenceville, GA 30046-8737

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
009486GAMDIndependent Medical Examiner Chiropractor
085985GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gwinnett Clinic, LTD Internal Medicine CurrentSince Aug 1, 2020 Accepting new patients
Gwinnett Clinic LTD CurrentSince Aug 1, 2020 Accepting new patients
Gwinnett Clinic, LTD Internal Medicine Past Accepting new patients

Locations

3068 Old Norcross Rd
Duluth, GA 30096
Phone (770) 476-4550

3490 Pleasant Hill Rd
Duluth, GA 30096
Phone (770) 814-2870

10600 Medlock Bridge Rd
Johns Creek, GA 30097
Phone (770) 418-0818

475 Philip Blvd
Ste 100
Lawrenceville, GA 30046
Phone (678) 226-6202

455 Beaver Ruin Rd NW
Lilburn, GA 30047
Phone (770) 923-7778

5595 Peachtree Pkwy
Peachtree Corners, GA 30092
Phone (770) 242-8001

Interoperability endpoints

  • Direct secure messaging: rachel.shah.1@32352.direct.athenahealth.com
  • Direct secure messaging: rachel.shah@gclinic.emedpractice.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673654400000",
    "number": "1457892770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10600 MEDLOCK BRIDGE RD",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300978404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 BEAVER RUIN RD NW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473413",
            "telephone_number": "770-923-7778",
            "fax_number": "770-806-1383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3490 Pleasant Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "300963188",
            "country_code": "US",
            "telephone_number": "770-814-2870",
            "fax_number": "770-814-2872",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3068 Old Norcross Rd",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "300964914",
            "country_code": "US",
            "telephone_number": "770-925-7232",
            "fax_number": "770-638-3315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "475 Philip Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300468736",
            "country_code": "US",
            "telephone_number": "770-995-3300",
            "fax_number": "770-995-0794",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5595 Peachtree Pkwy",
            "address_purpose": "LOCATION",
            "city": "Norcross",
            "state": "GA",
            "postal_code": "300922551",
            "country_code": "US",
            "telephone_number": "770-242-8001",
            "fax_number": "770-242-6279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "RACHEL",
        "middle_name": "POCOCK",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-20",
        "last_updated": "2023-01-14",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "085985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "POCOCK",
            "middle_name": "HANNAH",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lilburn, GA

Sources for this page

Verify at the official NPI Registry.