Individual provider Active NPI

Rachel Ragina Taylor, FNP

  • Family Nurse Practitioner
  • Clarkesville, GA
National Provider Identifier
1942975206
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN209116 Issued in GA
Practice address
2085 Dooley Rd
Clarkesville, GA 30523-2346
Phone
(706) 499-6097
NPI assigned
Aug 10, 2021
Last updated
Sep 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN209116 GA Primary
Gerontology Registered Nurse 163WG0600X RN209116 GA

Addresses

Primary practice location

2085 Dooley Rd
Clarkesville, GA 30523-2346

Mailing address

2085 Dooley Rd
Clarkesville, GA 30523-2346
Phone (706) 499-6097

Other names 1

  • Rachel Ragina Moore Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL EMR Health Information Exchange (HIE)

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
I20211013003037 GA Practitioner - Nurse Practitioner 2062719156 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN209116GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pratt Medical Services, LLC CurrentSince Sep 1, 2022 Accepting new patients

Locations

458 N Main St
Clayton, GA 30525
Phone (706) 960-9550

773 N Main St
Clayton, GA 30525
Phone (706) 782-0468

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19533/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1942975206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2085 DOOLEY RD",
            "city": "CLARKESVILLE",
            "state": "GA",
            "postal_code": "305232346",
            "telephone_number": "706-499-6097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2085 DOOLEY RD",
            "city": "CLARKESVILLE",
            "state": "GA",
            "postal_code": "305232346",
            "telephone_number": "706-499-6097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "RACHEL",
        "middle_name": "RAGINA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN209116",
            "primary": true
        },
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "GA",
            "license": "RN209116",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "endpointDescription": "Medical Records",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2085 Dooley Rd",
            "city": "Clarkesville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305232346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "MOORE",
            "middle_name": "RAGINA",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clarkesville, GA

Sources for this page

Verify at the official NPI Registry.