Individual provider Active NPI

Rachel Elizabeth Nisbet, M.D.

  • Pulmonary Disease Physician
  • Dacula, GA
National Provider Identifier
1609051218
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
054828 Issued in GA
Practice address
2075 Hamilton Creek Pkwy Ste 200
Dacula, GA 30019-7285
Phone
(770) 586-0300
Fax
(770) 586-0311
NPI assigned
Jan 2, 2008
Last updated
Oct 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 054828 GA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 054828 GA
Pulmonary Disease Physician 207RP1001X 054828 GA Primary

Addresses

Primary practice location

2075 Hamilton Creek Pkwy Ste 200
Dacula, GA 30019-7285

Mailing address

2075 Hamilton Creek Pkwy Ste 200
Dacula, GA 30019-7285
Phone (770) 586-0300

Other practice location 1

30 Satellite Dr Ste 200
Winder, GA 30680-6211
Phone (770) 586-0300

Other identifiers 1

IdentifierTypeStateIssuer
551442576AMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rnisbet31954@nghs.gadirect.net Direct

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
I20080729000217 GA Practitioner - Pulmonary Disease 0345314100 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Emory University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pulmonary and Sleep Specialists of Piedmont NortheastGroup PAC ID 5698209096, 18 clinicians

Practice addresses (Care Compare)

1800 Tree LN
Suite 200
Snellville, GA 30078-2060
Phone 7705860300352

2075 Hamilton Creek Pkwy
Suite 200
Dacula, GA 30019-7285
Phone 7705860300320

743 Spring Nest
Gainesville, GA 30501-3715
Phone (770) 219-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.83 of 100Reported as group
Quality
80.36
Promoting interoperability
100
Improvement activities
40
Cost
79.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
054828GAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary and Sleep Specialists of Northeast Georgia, PC Internal Medicine CurrentSince May 1, 2019 Accepting new patients
Northeast Georgia Physicians Group Inc Internal Medicine CurrentSince Jul 1, 2019 Accepting new patients
Pulmonary and Sleep Specialists of Piedmont Northeast Pulmonary Disease CurrentSince Sep 1, 2024 Accepting new patients

Locations

1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000

2075 Hamilton Creek Pkwy
Ste 200
Dacula, GA 30019
Phone (770) 586-0300

3625 Braselton Hwy
Ste 203
Dacula, GA 30019
Phone (770) 658-2081

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

1800 Tree Ln
Ste 200
Snellville, GA 30078
Phone (770) 586-0300

20 Satellite Dr
Ste 200
Winder, GA 30680
Phone (678) 963-0939

30 Satellite Dr
Ste 200
Winder, GA 30680
Phone (770) 586-0300

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 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": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1609051218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 HAMILTON CREEK PKWY STE 200",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300197285",
            "telephone_number": "770-586-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 HAMILTON CREEK PKWY STE 200",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300197285",
            "telephone_number": "770-586-0300",
            "fax_number": "770-586-0311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Satellite Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Winder",
            "state": "GA",
            "postal_code": "306806211",
            "country_code": "US",
            "telephone_number": "770-586-0300",
            "fax_number": "770-586-0311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NISBET",
        "first_name": "RACHEL",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-02",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "054828",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "GA",
            "license": "054828",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "054828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "551442576A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rnisbet31954@nghs.gadirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2075 Hamilton Creek Pkwy Ste 200",
            "city": "Dacula",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300197285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dacula, GA

Sources for this page

Verify at the official NPI Registry.