Individual provider Active NPI

Rachel Michele Brightwell, MD

  • Gynecologic Oncology Physician
  • Lawrenceville, GA
National Provider Identifier
1619207040
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
102575 Issued in GA
Practice address
771 Old Norcross Rd Ste 165
Lawrenceville, GA 30046-4979
Phone
(678) 442-3121
Fax
(678) 376-4045
NPI assigned
Jan 7, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X 67338 TN
Gynecologic Oncology Physician 207VX0201X Q9127 TX
Gynecologic Oncology Physician 207VX0201X 102575 GA Primary

Addresses

Primary practice location

771 Old Norcross Rd Ste 165
Lawrenceville, GA 30046-4979

Mailing address

1609 Bernini PL
Brentwood, TN 37027-6144
Phone (512) 815-0972

Other practice location 1

1800 Medical Center Pkwy Ste 440
Murfreesboro, TN 37129-3181
Phone (615) 284-4646

Other practice location 2

2004 Hayes St Ste 205
Nashville, TN 37203-2699
Phone (615) 284-4646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230309001050 TN Practitioner - Gynecological Oncology 6002104544 Reassigns benefits to 1 organization
I20250204000160 GA Practitioner - Obstetrics/Gynecology 6002104544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northside Surgical Professional Services LLCGroup PAC ID 8628253424, 367 clinicians

Practice addresses (Care Compare)

771 Old Norcross Rd
Suite 165
Lawrenceville, GA 30046-4979
Phone (678) 442-3121

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
102575GAMDGynecologic Oncology Physician
67338TNMDGynecologic Oncology Physician
Q9127TXMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Thomas Medical Partners CurrentSince Feb 28, 2023 Accepting new patients
Northside Surgical Professional Services LLC CurrentSince Mar 15, 2025 Accepting new patients
Georgia Colon & Rectall Surgical Associates PC PastSince Dec 8, 2024 Accepting new patients

Locations

1255 Friendship Rd
Ste 120
Braselton, GA 30517
Phone (470) 201-7777

3855 Pleasant Hill Rd
Ste 330
Duluth, GA 30096
Phone (678) 312-6200

771 Old Norcross Rd
Ste 165
Lawrenceville, GA 30046
Phone (678) 442-3121

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

1800 Medical Center Pkwy
Ste 440
Murfreesboro, TN 37129
Phone (615) 867-1940

1800 Medical Center Pkwy
Ste 400
Murfreesboro, TN 37129
Phone (615) 396-6800

300 20th Ave N
Fl 9
Nashville, TN 37203

2004 Hayes St
Ste 104
Nashville, TN 37203
Phone (615) 284-2400

300 20th Ave N
Ste 403
Nashville, TN 37203
Phone (615) 284-4088

2004 Hayes St
Ste 205
Nashville, TN 37203
Phone (615) 284-4646

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1262822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1619207040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 BERNINI PL",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370276144",
            "telephone_number": "512-815-0972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 OLD NORCROSS RD STE 165",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464979",
            "telephone_number": "678-442-3121",
            "fax_number": "678-376-4045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Medical Center Pkwy Ste 440",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371293181",
            "country_code": "US",
            "telephone_number": "615-284-4646",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2004 Hayes St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372032699",
            "country_code": "US",
            "telephone_number": "615-284-4646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIGHTWELL",
        "first_name": "RACHEL",
        "middle_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-07",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "TN",
            "license": "67338",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "TX",
            "license": "Q9127",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "GA",
            "license": "102575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.