Individual provider Active NPI

Rachel Ayers McKay

  • Pediatric Cardiology Physician
  • Stockbridge, GA
National Provider Identifier
1992085468
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
80357 Issued in GA
Practice address
202 Village Center Pkwy BLDG 200-240
Stockbridge, GA 30281-9044
Phone
(404) 256-2593
NPI assigned
Aug 27, 2011
Last updated
Sep 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 80357 GA Primary

Addresses

Primary practice location

202 Village Center Pkwy BLDG 200-240
Stockbridge, GA 30281-9044

Mailing address

2835 Brandywine Rd Ste 300
Atlanta, GA 30341-5540
Phone (404) 694-1700

Other practice location 1

5461 Meridian Mark Rd Ste 530
Atlanta, GA 30342-3283
Phone (404) 256-2593

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sibley@choa.gadirect.com Health Information Exchange (HIE) Children's Healthcare of Atlanta

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211007002859 GA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 1759789506 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
80357GAMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Healthcare of Atlanta Cardiology Inc Pediatric Cardiology CurrentSince Sep 1, 2021 Accepting new patients

Locations

2835 Brandywine Rd
Ste 300
Atlanta, GA 30341
Phone (770) 488-9202

2835 Brandywine Rd
Ste 400
Atlanta, GA 30341

60 Executive Park South NE
Atlanta, GA 30329

771 Old Norcross Rd
Ste 110
Lawrenceville, GA 30046
Phone (404) 253-2593

5461 Meridian Mark Rd
Ste 530
Sandy Springs, GA 30342

202 Village Center Pkwy
Bldg 200240
Stockbridge, GA 30281

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": "1314403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1992085468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 BRANDYWINE RD STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303415540",
            "telephone_number": "404-694-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 VILLAGE CENTER PKWY BLDG 200-240",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819044",
            "telephone_number": "404-256-2593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5461 Meridian Mark Rd Ste 530",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303423283",
            "country_code": "US",
            "telephone_number": "404-256-2593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKAY",
        "first_name": "RACHEL",
        "middle_name": "AYERS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-27",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "GA",
            "license": "80357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sibley@choa.gadirect.com",
            "affiliation": "Y",
            "endpointDescription": "Sibley",
            "affiliationName": "Children's Healthcare of Atlanta",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PHI",
            "address_1": "202 Village Center Pkwy Bldg 200-240",
            "city": "Stockbridge",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302819044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

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