Rasa Abital Teytel, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

RN236121 Issued in GA

Practice address

3941 Holcomb Bridge Rd Ste 100
Peachtree Corners, GA 30092-2292

Phone

(678) 221-3333

Fax

(678) 221-3339

NPI assigned

Jul 25, 2019

Last updated

Aug 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

My Care Clinic, LLCGroup PAC ID 7113466517, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rasa.teytel.1@31447.direct.athenahealth.com

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.

• My Care Clinic, LLC

  • Family Medicine Physician
  • Peachtree Corners, GA
  • NPI 1760234363

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1780238048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3941 HOLCOMB BRIDGE RD STE 100",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300922292",
            "telephone_number": "404-429-4195",
            "fax_number": "678-221-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3941 HOLCOMB BRIDGE RD STE 100",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300922292",
            "telephone_number": "678-221-3333",
            "fax_number": "678-221-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEYTEL",
        "first_name": "RASA",
        "middle_name": "ABITAL",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN236121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ange Tetsadjio, PHARM.D.
• Kometh Thawanyarat, BA
• Antoinette Theodore, PA-C
• Regina Thomas
• Alexa D Thompson, NP
• Ling Ting

• Primary Care Nurse Practitioner in Peachtree Corners, GA
• Providers in Peachtree Corners, GA by specialty
• Primary Care Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.