Individual provider Active NPI

Christa Lee Rush, PA-C

  • Physician Assistant
  • Gainesville, GA
National Provider Identifier
1760539175
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4437 Issued in GA
Practice address
200 W Academy Street
Gainesville, GA 30501
Phone
(770) 282-8820
NPI assigned
Jan 5, 2007
Last updated
Jan 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4437 GA Primary

Addresses

Primary practice location

200 W Academy Street
Gainesville, GA 30501

Mailing address

103 Church St
Hiawassee, GA 30546-3223
Phone (706) 896-4673

Other practice location 1

103 Church St
Hiawassee, GA 30546-3223
Phone (706) 896-4673

Other identifiers 1

IdentifierTypeStateIssuer
727928896OMedicaidGA

Other names 1

  • Ms. Christa Lee Parton Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050511000347 GA Practitioner - Physician Assistant 2163461138 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMG Northwest Georgia Oncology Center IncGroup PAC ID 8325479918, 8 clinicians

Practice addresses (Care Compare)

601 Dallas Hwy
Suite 102
Villa Rica, GA 30180-1202
Phone (770) 333-2220

705 Dallas Hwy
Suite 204
Villa Rica, GA 30180-1243
Phone (770) 333-2220

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
004437GAMDSpeech-Language Pathologist
4437GAMDPhysician Assistant

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1760539175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CHURCH ST",
            "city": "HIAWASSEE",
            "state": "GA",
            "postal_code": "305463223",
            "telephone_number": "706-896-4673",
            "fax_number": "706-896-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ACADEMY STREET",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "30501",
            "telephone_number": "770-282-8820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Church St",
            "address_purpose": "LOCATION",
            "city": "Hiawassee",
            "state": "GA",
            "postal_code": "305463223",
            "country_code": "US",
            "telephone_number": "706-896-4673",
            "fax_number": "706-896-3992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSH",
        "first_name": "CHRISTA",
        "middle_name": "LEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "4437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "727928896O",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTA",
            "last_name": "PARTON",
            "middle_name": "LEE",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.