Rachel Alexander, RDMS

Individual provider Active NPI Sonography Radiologic Technologist · Douglasville, GA

NPI 1992497184 · NPPES record last updated May 24, 2023

Key facts

NPI
1992497184
Entity type
Individual (NPI type 1)
Primary specialty
Sonography Radiologic Technologist 2471S1302X
License
178912 (GA)
Practice address
3486 Pine Grove Dr
Douglasville, GA 30135-2662
Phone
(404) 936-3425
NPI assigned
May 24, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
178912GAMDSonography Radiologic Technologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Radiologic Technologist
Group: 193400000X SINGLE SPECIALTY GROUP
2471S1302X 178912 GA Yes

Addresses

Primary practice location

3486 Pine Grove Dr
Douglasville, GA 30135-2662

Mailing address

3486 Pine Grove Dr
Douglasville, GA 30135-2662
Phone (404) 936-3425

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 24, 2023.

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1992497184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3486 PINE GROVE DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301352662",
            "telephone_number": "404-936-3425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3486 PINE GROVE DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301352662",
            "telephone_number": "404-936-3425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "RACHEL",
        "name_prefix": "Ms.",
        "credential": "RDMS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-05-24",
        "certification_date": "2022-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": "GA",
            "license": "178912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

All providers in Douglasville, GA · Sonography Radiologic Technologist in Georgia

Sources for this page

Verify at the official NPI Registry.