Individual provider Active NPI

Rachel Pearl McDiehl, MD

  • Obstetrics & Gynecology Physician
  • Decatur, GA
National Provider Identifier
1760986798
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
92548 Issued in GA
Practice address
315 Winn Way
Decatur, GA 30030-2111
Phone
(404) 299-9724
Fax
(404) 299-0382
NPI assigned
Mar 23, 2018
Last updated
Sep 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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 92548 GA Primary

Addresses

Primary practice location

315 Winn Way
Decatur, GA 30030-2111

Mailing address

315 Winn Way
Decatur, GA 30030-2111
Phone (404) 299-9724

Other names 1

  • Rachel Pearl McCandliss 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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220930003028 GA Practitioner - Obstetrics/Gynecology 6406104355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Emory University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanta Gynecology and Obstetrics P.C.Group PAC ID 5597748830, 5 clinicians

Practice addresses (Care Compare)

315 Winn Way
Decatur, GA 30030-2111
Phone (404) 299-9724

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
010142GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Gynecology & Obstetrics P.C. Obstetrics & Gynecology CurrentSince Sep 19, 2022 Accepting new patients
Dekalb Medical Center, Inc. Past Accepting new patients
Dekalb Medical Psych Unit Past Accepting new patients

Locations

315 Winn Way
Decatur, GA 30030
Phone (404) 299-9724

449 Pleasant Hill Rd NW
Ste 200
Lilburn, GA 30047
Phone (404) 299-9724

Interoperability endpoints

  • Direct secure messaging: rachel.mcdiehl@ago.directbygreenway.com

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 2

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": "1521763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1760986798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 WINN WAY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302111",
            "telephone_number": "404-299-9724",
            "fax_number": "404-299-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 WINN WAY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302111",
            "telephone_number": "404-299-9724",
            "fax_number": "404-299-0382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDIEHL",
        "first_name": "RACHEL",
        "middle_name": "PEARL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-23",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "92548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "MCCANDLISS",
            "middle_name": "PEARL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.