Individual provider Active NPI

Rachel Rubin Villella

  • Family Medicine Physician
  • Charlotte, NC
National Provider Identifier
1467864215
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2017-01646 Issued in NC
Practice address
4014 Connection Point Blvd Ste C
Charlotte, NC 28212-0332
Phone
(704) 343-8282
Fax
(415) 252-7176
NPI assigned
May 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 201864 NC
Family Medicine Physician 207Q00000X 2017-01646 NC Primary

Addresses

Primary practice location

4014 Connection Point Blvd Ste C
Charlotte, NC 28212-0332

Mailing address

4014 Connection Point Blvd Ste C
Charlotte, NC 28212-0332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20170825000330 NC Practitioner - Family Practice 8123245081 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
One Medical, P.C.Group PAC ID 3375872369, 11 clinicians

Practice addresses (Care Compare)

4014 Connection Point Blvd
Suite C
Charlotte, NC 28212-0332
Phone (704) 343-8282

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2017-01646NCMDFamily Medicine Physician
201864NCMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
One Medical, P.C. CurrentSince Aug 29, 2022 Accepting new patients
One Medical, P.C. Current Accepting new patients
Cabarrus Rowan Community Health Centers, Inc. CurrentSince Sep 5, 2017 Accepting new patients
Cabarrus Rowan Community Health Centers, Inc. Family Medicine CurrentSince Sep 5, 2017 Accepting new patients
Cabarrus Rowan Community Health Centers, Inc. Family Medicine Current Accepting new patients
Iora Health, LLC Past Accepting new patients
Iora Health Massachusetts, P.C. Past Accepting new patients

Locations

1 Embarcadero Ctr
Fl 19
San Francisco, CA 94111
Phone (415) 814-0927

4014 Connection Point Blvd
Ste C
Charlotte, NC 28212
Phone (704) 343-8282

298 Lincoln St SW
Concord, NC 28025
Phone (704) 792-2242

202D McGill Ave NW
Concord, NC 28025
Phone (704) 792-2242

274 Eastchester Dr
Ste 120
High Point, NC 27262
Phone (336) 542-2992

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1467864215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4014 CONNECTION POINT BLVD STE C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282120332",
            "fax_number": "415-252-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4014 CONNECTION POINT BLVD STE C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282120332",
            "telephone_number": "704-343-8282",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLELLA",
        "first_name": "RACHEL",
        "middle_name": "RUBIN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-28",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": "201864",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2017-01646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.