Individual provider Active NPI

Rachael Brooke-Ann Gordon-Tupman, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Woodstock, GA
National Provider Identifier
1528764032
Registry record updated Aug 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN271333 Issued in GA
Practice address
221 Sabrina CT
Woodstock, GA 30188-4228
Phone
(770) 301-7277
NPI assigned
Feb 6, 2023
Last updated
Aug 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN271333 GA Primary
Registered Nurse 163W00000X RN271333 GA

Addresses

Primary practice location

221 Sabrina CT
Woodstock, GA 30188-4228

Mailing address

221 Sabrina CT
Woodstock, GA 30188-4228
Phone (770) 301-7277

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
I20230412000253 GA Practitioner - Nurse Practitioner 1052786779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy Care LLCGroup PAC ID 1153839691, 3 clinicians

Practice addresses (Care Compare)

711 Canton Rd NE
Suite 100
Marietta, GA 30060-8949
Phone (833) 425-6868

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN271333GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Care LLC CurrentSince Sep 5, 2025 Accepting new patients
Synergy Care LLC CurrentSince Sep 5, 2025 Accepting new patients
Synergy Care LLC Past Accepting new patients

Locations

711 Canton Rd NE
Ste 100
Marietta, GA 30060
Phone (833) 425-6868

5881 Glenridge Dr
Ste 100
Sandy Springs, GA 30328
Phone (833) 425-6868

212 Northside Dr
Valdosta, GA 31602
Phone (229) 242-3060

18451 Dallas Pkwy
Ste 150
Dallas, TX 75287
Phone (601) 988-1700

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": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754092800000",
    "number": "1528764032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 SABRINA CT",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301884228",
            "telephone_number": "770-301-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 SABRINA CT",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301884228",
            "telephone_number": "770-301-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON-TUPMAN",
        "first_name": "RACHAEL",
        "middle_name": "BROOKE-ANN",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2025-08-02",
        "certification_date": "2025-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN271333",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN271333",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

Verify at the official NPI Registry.