RAYAH T. PANDLEY NP
NPI 1033671060
Nurse Practitioner - Pediatrics in Atlanta, GA

Active since April 01, 2019PECOS Enrolled
1046 RIDGE AVE SW, ATLANTA, GA 30315(046) 881-3504 Get Directions Write a Review

NPPES record last updated: April 1, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rayah T. Pandley Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAYAH T. PANDLEY NP (NPI 1033671060) is an individual pediatrics provider in Atlanta, Georgia, licensed in Georgia (RN266054) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033671060
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameRAYAH T. PANDLEYCredential: NP
Location Address1046 RIDGE AVE SWAtlanta, GA 30315-1640
Mailing Address1046 Ridge Ave SwAtlanta, GA 30315-1640 · (404) 688-1350
Sole ProprietorYes
Enumeration DateApril 1, 2019
Last NPPES UpdateApril 1, 2022
NPPES CertifiedApril 1, 2022
✔ NPI 1033671060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in GA · RN266054
Also ListedRegistered NurseTaxonomy 163W00000X · License RN266054 (GA)
1046 RIDGE AVE SW, Atlanta, GA 30315

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rayah T. Pandley Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Rayah Pandley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
1046 RIDGE AVE SW
Atlanta, GA 30315
  • Reassigned Medicare billing, Georgia enrollment
  • 90 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30315 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1046 RIDGE AVE SW
ATLANTA, GA 30315
Dentist (General Practice)
1046 RIDGE AVE SW
ATLANTA, GA 30315
Nurse Practitioner
1046 RIDGE AVE SW
ATLANTA, GA 30315
Physician Assistant
1046 RIDGE AVE SW
ATLANTA, GA 30315
Clinic/Center
1046 RIDGE AVE SW
ATLANTA, GA 30315
Dental Hygienist
1046 RIDGE AVE SW
ATLANTA, GA 30315
Advanced Practice Midwife
1046 RIDGE AVE SW
ATLANTA, GA 30315
Midwife
1046 RIDGE AVE SW
ATLANTA, GA 30315

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rayah Pandley's NPI number?

The NPI number for Rayah Pandley is 1033671060. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Where is Rayah Pandley located?

Rayah Pandley practices at 1046 Ridge Ave SW, Atlanta, GA 30315. The listed phone number is (046) 881-3504.

What is Rayah Pandley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Rayah Pandley enrolled in Medicare?

Yes. Rayah Pandley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rayah Pandley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rayah Pandley reassigns Medicare benefits to Southside Medical Center, Inc. (Atlanta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rayah Pandley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rayah Pandley accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Rayah Pandley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rayah Pandley was last updated on April 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.