Individual provider Active NPI

Racheal Synia Daniels, MD

  • Family Medicine Physician
  • Atlanta, GA
National Provider Identifier
1790308484
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
98728 Issued in GA
Practice address
764 Memorial Dr SE Ste 106
Atlanta, GA 30316-1573
Phone
(205) 348-1770
Fax
(205) 348-1772
NPI assigned
May 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 98728 GA Primary

Addresses

Primary practice location

764 Memorial Dr SE Ste 106
Atlanta, GA 30316-1573

Mailing address

764 Memorial Dr SE Ste 106
Atlanta, GA 30316-1573
Phone (770) 783-1414

Other identifiers 1

IdentifierTypeStateIssuer
STUDENTOtherALSTUDENT

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
I20240318002272 GA Practitioner - Family Practice 9830501808 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allcare Ga PCGroup PAC ID 2668907940, 36 clinicians

Practice addresses (Care Compare)

4605 Roswell Rd
Atlanta, GA 30342-3000
Phone (678) 509-7462

49 Hosiery Mill Rd
Suite 124
Dallas, GA 30157-1688
Phone (770) 433-6111

6135 Ollie Walk
Suite 100
Alpharetta, GA 30005-2461
Phone (678) 609-5678

764 Memorial Dr SE
Suite 106
Atlanta, GA 30316-1573
Phone (770) 783-1414

Merit-based Incentive Payment System (MIPS)

Final score
95.13 of 100Reported as apm
Quality
90.26
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
98728GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Healthcare PC CurrentSince Feb 10, 2024 Accepting new patients
Allcare Ga PC CurrentSince Jan 1, 2025 Accepting new patients
Alex E. Rikhter, MD P.C. Current Accepting new patients

Locations

3867 Roswell Rd NE
Ste 100
Atlanta, GA 30342
Phone (678) 904-5611

764 Memorial Dr SE
Ste 106
Atlanta, GA 30316
Phone (770) 783-1414

49 Hosiery Mill Rd
Ste 124
Dallas, GA 30157
Phone (770) 443-6111

4605 Roswell Rd
Sandy Springs, GA 30342
Phone (678) 509-7462

Interoperability endpoints

  • Direct secure messaging: racheal.daniels.1@33029.direct.athenahealth.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1790308484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 MEMORIAL DR SE STE 106",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303161573",
            "telephone_number": "770-783-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 MEMORIAL DR SE STE 106",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303161573",
            "telephone_number": "205-348-1770",
            "fax_number": "205-348-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "RACHEAL",
        "middle_name": "SYNIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-28",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "98728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STUDENT",
            "identifier": "STUDENT",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.