Individual provider Active NPI

Rebecca Linton Radke, NP-C

  • Adult Health Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1477832525
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN116771 Issued in GA
Practice address
993 Johnson Ferry Rd
BLDG C, Ste 120
Atlanta, GA 30342-1620
Phone
(404) 790-7860
Fax
(404) 851-8673
NPI assigned
Aug 8, 2011
Last updated
Jan 10, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN116771 GA Primary

Addresses

Primary practice location

993 Johnson Ferry Rd
BLDG C, Ste 120
Atlanta, GA 30342-1620

Mailing address

993 Johnson Ferry Rd
BLDG C, Ste 120
Atlanta, GA 30342-1620
Phone (404) 790-7860

Other identifiers 1

IdentifierTypeStateIssuer
003112390EMedicaidGA

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
I20110902000165 GA Practitioner - Nurse Practitioner 5991975724 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Ravinia Dr
Suite 1430
Atlanta, GA 30346-2173
Phone (404) 869-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Visiting Nurse Health System, Inc. CurrentSince Feb 3, 2025 Accepting new patients
Piedmont Healthcare Inc CurrentSince Jul 24, 2011 Accepting new patients
Visiting Nurse Health System, Inc Past Accepting new patients

Locations

1 Ravinia Dr
Ste 1430
Atlanta, GA 30346
Phone (404) 215-6000

100 Hartsfield Center Pkwy
Ste 140
Atlanta, GA 30354
Phone (404) 215-6007

1984 Peachtree Rd NW
Ste 205
Atlanta, GA 30309

1165 Northchase Pkwy SE
Ste 400
Marietta, GA 30067
Phone (404) 215-6000

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.

NPI Registry JSON

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1477832525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "993 JOHNSON FERRY RD",
            "address_2": "BLDG C, STE 120",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421620",
            "telephone_number": "404-790-7860",
            "fax_number": "404-851-8673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993 JOHNSON FERRY RD",
            "address_2": "BLDG C, STE 120",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421620",
            "telephone_number": "404-790-7860",
            "fax_number": "404-851-8673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADKE",
        "first_name": "REBECCA",
        "middle_name": "LINTON",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-08",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN116771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003112390E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.