NPIMap

Individual provider Active NPI

Rachel G. Velez, D.O.

  • Family Medicine Physician
  • Quitman, GA
National Provider Identifier
1972545119
Registry record updated Feb 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
039500 Issued in GA
Practice address
606 W Screven St
Quitman, GA 31643-1922
Phone
(229) 263-8888
Fax
(229) 263-6528
NPI assigned
Jun 12, 2006
Last updated
Feb 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN154383 GA
Family Medicine Physician 207Q00000X 039500 GA Primary

Addresses

Primary practice location

606 W Screven St
Quitman, GA 31643-1922

Mailing address

606 W Screven St
PO Box 845
Quitman, GA 31643-1922
Phone (229) 263-8888

Other identifiers 1

IdentifierTypeStateIssuer
00639922IMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060404000049 GA Practitioner - Family Practice 0042109654 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Nightingale Clinic, PCGroup PAC ID 8527957133, 2 clinicians

Practice addresses (Care Compare)

606 W Screven St
Quitman, GA 31643-1922
Phone (229) 263-8888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
039500GAMDFamily Medicine Physician
RN154383GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Macmed LLC Family Medicine CurrentSince Jun 1, 2015 Accepting new patients
Bethany Hospice and Palliative Care, LLC Family Medicine CurrentSince Jan 15, 2017 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Presbyterian Home, Quitman, Inc. PastSince Jan 1, 2024 Accepting new patients

Locations

135 Gemini Cir
Ste 202
Birmingham, AL 35209
Phone (205) 949-0400

1606 Reynolds St
Brunswick, GA 31520

2927 Demere Rd
St Simons Island, GA 31522
Phone (912) 638-1999

2700 N Oak St
Bldg B
Valdosta, GA 31602
Phone (229) 219-7993

Interoperability endpoints

  • Direct secure messaging: rachel.velez@tnc.directbygreenway.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Presbyterian HomeQuitman, GA, CCN 115498 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2024
Jan 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

Hospital & facility affiliations 9

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488153600000",
    "number": "1972545119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 W SCREVEN ST",
            "address_2": "PO BOX 845",
            "city": "QUITMAN",
            "state": "GA",
            "postal_code": "316431922",
            "telephone_number": "229-263-8888",
            "fax_number": "229-263-6528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 W SCREVEN ST",
            "city": "QUITMAN",
            "state": "GA",
            "postal_code": "316431922",
            "telephone_number": "229-263-8888",
            "fax_number": "229-263-6528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ",
        "first_name": "RACHEL",
        "middle_name": "G.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2017-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN154383",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "039500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00639922I",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quitman, GA

Sources for this page

Verify at the official NPI Registry.