Rachelle Lou Naridze, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

T3833 Issued in TX

Practice address

700 San Gabriel Village Blvd Ste 105
Georgetown, TX 78626-5594

Phone

(512) 598-8757

NPI assigned

Jun 14, 2015

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

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rnaridze@conger.emadirect.md

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.

• Oliver Street 5.01(a) Inc.

  dba U.S. Dermatology Partners

  • Dermatology Physician
  • Dallas, TX
  • NPI 1457695413
  Medicare reassignment NPD

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

{
    "created_epoch": "1434240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1700267978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 HARVEST HILL RD STE 290",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752305826",
            "telephone_number": "214-420-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SAN GABRIEL VILLAGE BLVD STE 105",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786265594",
            "telephone_number": "512-598-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARIDZE",
        "first_name": "RACHELLE",
        "middle_name": "LOU",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-14",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "T3833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Benjamin Nailling, PA-C
• Grant K Nakashima, DDS
• Namrata Sharma DMD PA
• Jeevantha Nanayakkara, FNP -BC
• Tiffany Nanthavongdouangsy, DMD
• National Vision Inc (America's Best Contacts & Eyeglasses)
• Bennett Ogochukwu Ndubisi, PMHNP
• Alyssa Neagle
• Katieanne Nicole Neaves, DC
• Julie Neighbors, P.A.

• Dermatology Physician in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.