Active NPI
Rochelle A Riley, MD
- Family Medicine Physician
- Fayetteville, GA
National Provider Identifier
1679276646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 104025
- Practice address
- 1250 Highway 54 W Ste 102
Fayetteville, GA 30214-4540 - Phone
- (770) 719-7060
- NPI assigned
- Mar 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 104025 | GA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1250 Highway 54 W Ste 102
Fayetteville, GA 30214-4540
Mailing address
1250 Highway 54 W Ste 102
Fayetteville, GA 30214-4540
Phone (770) 719-7060
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230626003577 | GA | Order and Referring Only - Family Practice | 3577921329 |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1825 Hwy 34 E
Suite 1200
Newnan, GA 30265-6416
PO Box
Suite 102321
Atlanta, GA 30368-2321
PO Box
Suite 670747
Marietta, GA 30066-0130
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781827200000",
"number": "1679276646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 HIGHWAY 54 W STE 102",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302144540",
"telephone_number": "770-719-7060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 HIGHWAY 54 W STE 102",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302144540",
"telephone_number": "770-719-7060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "ROCHELLE",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-27",
"last_updated": "2026-06-19",
"certification_date": "2026-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "104025",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.