Individual provider Active NPI

Hera Rahman

  • Physician Assistant
  • Atlanta, GA
National Provider Identifier
1821611609
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
12990 Issued in GA
Practice address
3020 Paces Mill Rd SE
Atlanta, GA 30339-3744
Phone
(770) 437-4200
NPI assigned
May 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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 12990 GA Primary

Addresses

Primary practice location

3020 Paces Mill Rd SE
Atlanta, GA 30339-3744

Mailing address

969 Reading St
Bartlett, IL 60103-4558
Phone (630) 501-8205

Other practice location 1

315 W College Ave
Boiling Springs, NC 28017
Phone (704) 406-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240216000409 IL Practitioner - Physician Assistant 2961846035 Reassigns benefits to 2 organizations
I20250820000819 GA Practitioner - Physician Assistant 2961846035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Medical Care CorporationGroup PAC ID 6002802220, 368 clinicians
Suburban Endocrinology and DiabetesGroup PAC ID 8426946229, 9 clinicians

Practice addresses (Care Compare)

105 Collier Rd NW
Suite 5020
Atlanta, GA 30309-1731
Phone (404) 367-3210

2101 S Arlington Heights
Suite 111
Arlington Heights, IL 60005-4197

2101 S Arlington Heights Rd
Arlington Heights, IL 60005-4197
Phone (847) 228-3200

3020 Paces Mill Rd SE
Atlanta, GA 30339-3744
Phone (770) 437-4200

Hospital & facility affiliations

  • Piedmont Hospital, Inc Hospital, Atlanta, GA, CCN 110083
  • Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252
  • Alexian Brothers Medical Center 1 Hospital, Elk Grove Village, IL, CCN 140258

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12990GAMDPhysician Assistant

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.

Hospital & facility affiliations 4

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": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1821611609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 READING ST",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601034558",
            "telephone_number": "630-501-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 PACES MILL RD SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393744",
            "telephone_number": "770-437-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 W College Ave",
            "address_purpose": "LOCATION",
            "city": "Boiling Springs",
            "state": "NC",
            "postal_code": "28017",
            "country_code": "US",
            "telephone_number": "704-406-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "HERA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-27",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "12990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.