Active NPI
Rachel Eckelbarger, AGACNP-BC
- Acute Care Nurse Practitioner
- Woodstock, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- RN249904
- Practice address
- 900 Towne Lake Pkwy Ste 320
Woodstock, GA 30189-1604 - Phone
- (770) 517-6636
- NPI assigned
- Aug 31, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN249904 | GA | |
| Acute Care Nurse Practitioner | 363LA2100X | RN249904 | GA | Primary |
Addresses
Primary practice location
900 Towne Lake Pkwy Ste 320
Woodstock, GA 30189-1604
Mailing address
504 Brandywine Cir
Atlanta, GA 30350-2004
Phone (317) 674-2574
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
470 Northside Cherokee Blvd
Suite 180
Canton, GA 30115-8029
Phone (770) 517-6636
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northside Surgical Professional Services LLC | Current | Accepting new patients | |
| Mercy Health Physicians Cincinnati, LLC | Past | Accepting new patients |
Locations
470 Northside Cherokee Blvd
Ste 180
Canton, GA 30115
Phone (770) 517-6636
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000
900 Towne Lake Pkwy
Ste 320
Woodstock, GA 30189
Phone (770) 517-6636
Organizations & group practices 2
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.
-
- Surgery Physician
- Atlanta, GA
- NPI 1356630990
-
- Family Medicine Physician
- Blue Ash, OH
- NPI 1205887023
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northside Hospital Cherokee
- General Acute Care Hospital
- Canton, GA
- NPI 1225050396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695945600000",
"number": "1780352344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 BRANDYWINE CIR",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303502004",
"telephone_number": "317-674-2574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 TOWNE LAKE PKWY STE 320",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301891604",
"telephone_number": "770-517-6636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKELBARGER",
"first_name": "RACHEL",
"credential": "AGACNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-31",
"last_updated": "2023-09-29",
"certification_date": "2023-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN249904",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "GA",
"license": "RN249904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodstock, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.