Individual provider Active NPI

Rachel Josephine Paccione, M.D

  • Obstetrics & Gynecology Physician
  • Douglasville, GA
National Provider Identifier
1710203500
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
071608 Issued in GA
Practice address
6095 Professional Pkwy Ste A210
Douglasville, GA 30134-5611
Phone
(770) 949-4188
NPI assigned
Apr 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 071608 GA Primary

Addresses

Primary practice location

6095 Professional Pkwy Ste A210
Douglasville, GA 30134-5611

Mailing address

3630 Savannah PL
Building 100 Suite B
Duluth, GA 30096-5028
Phone (678) 474-0203

Other practice location 1

5780 Peachtree Dunwoody Rd Ste 300
Atlanta, GA 30342-1513
Phone (404) 303-1224 ext. 8035

Other practice location 2

3630 Savannah Pl Ste B
Duluth, GA 30096-5028
Phone (678) 474-0203

Other identifiers 2

IdentifierTypeStateIssuer
003147223AMedicaidGA
GRP3569OtherGAOPTOUT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rpaccione603106@directwellstar.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2014 through Oct 1, 2026

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Women'S Health Group, P.C. Past Accepting new patients
Northside Hospital, Inc. Past Accepting new patients
Women'S Healthcare Associates of Athens, LLC Obstetrics & Gynecology Past Accepting new patients
Northside Northpoint OB GYN 2 LLC Obstetrics & Gynecology Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1710203500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 SAVANNAH PL",
            "address_2": "BUILDING 100 SUITE B",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965028",
            "telephone_number": "678-474-0203",
            "fax_number": "678-474-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6095 PROFESSIONAL PKWY STE A210",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301345611",
            "telephone_number": "770-949-4188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5780 Peachtree Dunwoody Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303421513",
            "country_code": "US",
            "telephone_number": "404-303-1224 x8035",
            "fax_number": "404-303-1224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3630 Savannah Pl Ste B",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "300965028",
            "country_code": "US",
            "telephone_number": "678-474-0203",
            "fax_number": "678-474-0207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACCIONE",
        "first_name": "RACHEL",
        "middle_name": "JOSEPHINE",
        "name_prefix": "Ms.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-19",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "071608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003147223A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOUT",
            "identifier": "GRP3569",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rpaccione603106@directwellstar.org",
            "affiliation": "N",
            "address_1": "6095 Professional Pkwy Ste A210",
            "city": "Douglasville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301345611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

Verify at the official NPI Registry.