RACHAEL L SWEENEY NP-BC
NPI 1083064539
Nurse Practitioner in Thomaston, GA

Q: What is Rachael Sweeney's NPI number?

The NPI number for Rachael Sweeney is 1083064539. It was assigned to this individual provider in the NPPES registry on June 15, 2016.

Q: What is Rachael Sweeney's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Rachael Sweeney was last updated on November 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since June 15, 2016PECOS Enrolled

801 W GORDON ST, THOMASTON, GA 30286(706) 647-8111 Get Directions Write a Review

NPPES record last updated: November 4, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 4, 2016, Oct 19, 2016, Jun 15, 2016 (3 updates tracked since 2016).

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About Rachael L Sweeney Np-bc NPPES

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

RACHAEL L SWEENEY NP-BC (NPI 1083064539) is an individual nurse practitioner in Thomaston, Georgia, licensed in Georgia (RN199221) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083064539

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameRACHAEL L SWEENEYCredential: NP-BC

Location Address801 W GORDON STThomaston, GA 30286-3426

Mailing Address72 Mustang TrlWaverly Hall, GA 31831-2399 · (801) 842-3776

Phone(706) 647-8111

Sole ProprietorNo

Enumeration DateJune 15, 2016

Last NPPES UpdateNovember 4, 20163 updates tracked since enumeration

✔ NPI 1083064539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in GA · RN199221

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered Nurse · FlightTaxonomy 163WF0300X · License RN199221 (GA)

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License RN199221 (GA)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN199221 (GA)

801 W GORDON ST, Thomaston, GA 30286

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Oscar Health, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rachael L Sweeney Np-bc 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 Reassignments

Medicare enrollment records show Rachael Sweeney reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hightower Emergency Group, PC

0.2 mi

Emergency Medicine

801 W GORDON ST
Thomaston, GA 30286

Reassigned Medicare billing, Georgia enrollment
66 clinicians in this Medicare group

NPI 1790285815 (706) 647-8111

Emergency Group Of Columbus, LLC

47 mi

Emergency Medicine

710 CENTER ST
Columbus, GA 31901

Reassigned Medicare billing, Georgia enrollment
236 clinicians in this Medicare group

NPI 1316458227 (706) 571-1000

Acs Primary Care Physicians - Southeast PC

325 mi

Emergency Medicine

809 82ND PKWY
Myrtle Beach, SC 29572

Reassigned Medicare billing, Georgia enrollment
586 clinicians in this Medicare group

NPI 1861430555 (843) 692-1000

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 30286 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.

MR. ANDREW WADE SIMMONS ACNPC-AG

Clinical Nurse Specialist (Acute Care)