Individual provider Active NPI

Rebecca Lunsford, PA-C

  • Physician Assistant
  • Alpharetta, GA
National Provider Identifier
1780663351
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4047 Issued in GA
Practice address
3300 Old Milton Pkwy Ste 310
Alpharetta, GA 30005-2428
Phone
(404) 255-1933
Fax
(404) 785-9102
NPI assigned
Jan 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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 4047 GA Primary

Addresses

Primary practice location

3300 Old Milton Pkwy Ste 310
Alpharetta, GA 30005-2428

Mailing address

3300 Old Milton Pkwy Ste 310
Alpharetta, GA 30005-2428
Phone (404) 255-1933

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address choa@choa.gadirect.net

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
I20171130001939 GA Order and Referring Only - Physician Assistant 5799042651

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4047GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Orthopaedics of Atlanta P.C. PastSince Mar 1, 2013 Accepting new patients
Choa Hospital Based, LLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1780663351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 OLD MILTON PKWY STE 310",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300052428",
            "telephone_number": "404-255-1933",
            "fax_number": "404-785-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 OLD MILTON PKWY STE 310",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300052428",
            "telephone_number": "404-255-1933",
            "fax_number": "404-785-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNSFORD",
        "first_name": "REBECCA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "4047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "choa@choa.gadirect.net",
            "affiliation": "N",
            "address_1": "3300 Old Milton Pkwy Ste 310",
            "city": "Alpharetta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300052428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.