Individual provider Active NPI

Rashelle Collier

  • Family Nurse Practitioner
  • Fairburn, GA
National Provider Identifier
1962058537
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN185909 Issued in GA
Practice address
800 Autumn BLFS
Fairburn, GA 30213-3266
Phone
(678) 834-2088
NPI assigned
Aug 9, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN185909 GA Primary

Addresses

Primary practice location

800 Autumn BLFS
Fairburn, GA 30213-3266

Mailing address

800 Autumn BLFS
Fairburn, GA 30213-3266
Phone (678) 834-2088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NY, WA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20221018003283 GA Practitioner - Nurse Practitioner 3072989904 Reassigns benefits to 2 organizations
I20240522002448 NY Practitioner - Nurse Practitioner 3072989904 Reassigns benefits to 1 organization
I20251002002329 WA Practitioner - Nurse Practitioner 3072989904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanta Plus Urgent CareGroup PAC ID 9133453368, 8 clinicians

Practice addresses (Care Compare)

6238 Turner Lake Rd SW
Covington, GA 30014-3057
Phone (770) 679-4360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
352421NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Plus Urgent Care CurrentSince Jul 14, 2022 Accepting new patients
Brookview Medical Associates, PLLC CurrentSince Apr 15, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Oct 21, 2023 Accepting new patients
J3P LLC PastSince Feb 19, 2024 Accepting new patients

Locations

2121 Salem Rd SE
Conyers, GA 30013
Phone (470) 826-4051

6238 Turner Lake Rd SW
Covington, GA 30014
Phone (470) 971-2118

289 S Culver St
Lawrenceville, GA 30046
Phone (404) 891-9833

6328 Oakwood Cir
Norcross, GA 30093
Phone (701) 781-2290

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

711 Capitol Way S
Ste 204
Olympia, WA 98501
Phone (602) 499-5303

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GDAHBD

Organizations & group practices 4

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": "1565308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1962058537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 AUTUMN BLFS",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302133266",
            "telephone_number": "678-834-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 AUTUMN BLFS",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302133266",
            "telephone_number": "678-834-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIER",
        "first_name": "RASHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-09",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN185909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairburn, GA

Sources for this page

Verify at the official NPI Registry.