Rachel Leigh Pope, PA
Individual provider Active NPI Physician Assistant · Decaturville, TN
NPI 1700488012 · NPPES record last updated Nov 11, 2020
Key facts
- NPI
- 1700488012
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 11739 Highway 641 S
Decaturville, TN 38329-4286 - Phone
- (731) 733-9841
- NPI assigned
- Nov 11, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220915003587 | TN | Practitioner - Physician Assistant | 7214312990 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4682 | TN | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
11739 Highway 641 S
Decaturville, TN 38329-4286
Mailing address
11739 Highway 641 S
Decaturville, TN 38329-4286
Phone (731) 733-9841
Other providers in Decaturville, TN
- Stephanie Banks McCready
- Katelyn McFall
- Jonell Montgomery
- Sunny Reed Montgomery
- Teresa Nowell
- Renee L Ruth
- Amanda Christine Salas
- Dana Savage
- Lauren Everett Savell
- Holly Scott
All providers in Decaturville, TN · Physician Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.