Individual provider Active NPI

Rachel Elizabeth Nejem, NP-C

  • Adult Health Nurse Practitioner
  • Lawrenceville, GA
National Provider Identifier
1992045462
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN207580 Issued in GA
Practice address
771 Old Norcross Rd Ste 200
Lawrenceville, GA 30046-4980
Phone
(770) 339-1387
Fax
(770) 962-7868
NPI assigned
Feb 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN207580 GA Primary

Addresses

Primary practice location

771 Old Norcross Rd Ste 200
Lawrenceville, GA 30046-4980

Mailing address

771 Old Norcross Rd Ste 200
Lawrenceville, GA 30046-4980
Phone (770) 339-1387

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL, TN, AR, NC, OR, CA, WI, NY9 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 9

Enrollment IDStateProvider typePAC IDDetails
I20150306001168 GA Practitioner - Nurse Practitioner 2365768595 Reassigns benefits to 1 organization
I20220808002538 FL Practitioner - Nurse Practitioner 2365768595
I20220810001930 TN Practitioner - Nurse Practitioner 2365768595
I20220812002757 AR Practitioner - Nurse Practitioner 2365768595
I20221228001842 NC Practitioner - Nurse Practitioner 2365768595 Reassigns benefits to 1 organization
I20230124001196 OR Practitioner - Nurse Practitioner 2365768595 Reassigns benefits to 1 organization
I20230224002242 CA Practitioner - Nurse Practitioner 2365768595
I20230302001348 WI Practitioner - Nurse Practitioner 2365768595
I20230510000197 NY Practitioner - Nurse Practitioner 2365768595 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Openloop Healthcare Partners Colorado, PC Nurse Practitioner CurrentSince Aug 1, 2022 Accepting new patients
North Atlanta Endocrinology and Diabetes, PC CurrentSince Nov 22, 2014 Accepting new patients
Openloop Healthcare Partners California PC Nurse Practitioner CurrentSince Nov 18, 2022 Accepting new patients
Openloop Healthcare Partners Wisconsin, SC Nurse Practitioner CurrentSince Jan 23, 2023 Accepting new patients
Mehri Songhorian MD PC CurrentSince Feb 1, 2023 Accepting new patients
Openloop Healthcare Partners California PC Nurse Practitioner CurrentSince Nov 18, 2022 Accepting new patients
Openloop Healthcare Partners New Jersey PC Nurse Practitioner CurrentSince Jan 30, 2023 Accepting new patients

Locations

9360 Glacier Hwy
Ste 202
Juneau, AK 99801
Phone (703) 722-6955

2100 Southbridge Pkwy
Ste 650
Homewood, AL 35209
Phone (205) 533-8902

3707 E Southern Ave
#1
Mesa, AZ 85206
Phone (424) 387-6806

2121 E Coast Hwy
Ste 270
Corona del Mar, CA 92625
Phone (949) 694-4937

818 W 7th St
Los Angeles, CA 90017
Phone (949) 694-4937

72650 Fred Waring Dr
Ste 106
Palm Desert, CA 92260
Phone (760) 230-9990

71935 Highway 111
Rancho Mirage, CA 92270
Phone (949) 694-4937

1600 Broadway
Ste 1600
Denver, CO 80202
Phone (970) 592-8970

1015 15th St NW
Ste 1000
Washington, DC 20005
Phone (833) 815-2200

758 Old Norcross Rd
Ste 175
Lawrenceville, GA 30046
Phone (770) 339-1387

771 Old Norcross Rd
Ste 200
Lawrenceville, GA 30046
Phone (770) 339-1387

317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097

820 Bear Tavern Rd
Ewing, NJ 08628
Phone (415) 205-1229

500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685

250 Skillman St
Ste 204
Brooklyn, NY 11205
Phone (513) 341-7173

6000 Poplar Ave
Ste 250
Memphis, TN 38119
Phone (901) 451-9577

4500 Mercantile Plaza Dr
Ste 300
Ft Worth, TX 76137
Phone (469) 688-9501

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

301 S Bedford St
Ste 1
Madison, WI 53703
Phone (773) 766-9444

Interoperability endpoints

  • Direct secure messaging: rachel.nejem@719647455969284.direct.elationemr.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.400261

Organizations & group practices 8

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": "1361404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1992045462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 OLD NORCROSS RD STE 200",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464980",
            "telephone_number": "770-339-1387",
            "fax_number": "770-962-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 OLD NORCROSS RD STE 200",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464980",
            "telephone_number": "770-339-1387",
            "fax_number": "770-962-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEJEM",
        "first_name": "RACHEL",
        "middle_name": "ELIZABETH",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-21",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN207580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.