Rachel Oglesby Edenfield, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN227704 Issued in GA

Practice address

450 Georgia Ave Ste a
Statesboro, GA 30458-5590

Phone

(912) 489-3325

NPI assigned

Nov 6, 2017

Last updated

Mar 10, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• East Georgia Pediatrics

  • Specialist
  • Statesboro, GA
  • NPI 1295999795
  NPD (past)

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1659884237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 GEORGIA AVE STE A",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304585590",
            "telephone_number": "912-489-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 GEORGIA AVE STE A",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304585590",
            "telephone_number": "912-489-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDENFIELD",
        "first_name": "RACHEL",
        "middle_name": "OGLESBY",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-06",
        "last_updated": "2021-03-10",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN227704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Georgia Urgent Care
• East Georgia Urologic Clinic, PC
• East Georgia Womens Center
• Hillary J Edenfield, LAPC
• Natosha Edenfield, LPC
• James Harvey Elerson Jr., DMD
• Elite Screenings & More LLC
• Elizabeth L Penn MD PC
• Abigail Fontaine Elkins
• Ellen N. Emerson, PHD, LLC

• Pediatric Nurse Practitioner in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Pediatric Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.