DR. RAYVELLE ANTOINETTE STALLINGS M.D.
NPI 1154778629
Family Medicine in Norcross, GA

Q: What is Rayvelle Stallings's NPI number?

The NPI number for Rayvelle Stallings is 1154778629. It was assigned to this individual provider in the NPPES registry on May 15, 2016.

Q: What is Rayvelle Stallings's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since May 15, 2016PECOS EnrolledAccepts Medicare Assignment

1626 JEURGENS CT, NORCROSS, GA 30093(816) 843-5810(816) 843-6415 Get Directions Write a Review

NPPES record last updated: April 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 11, 2025, May 15, 2016 (2 updates tracked since 2016).

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About Dr. Rayvelle Antoinette Stallings M.d. NPPES

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

DR. RAYVELLE ANTOINETTE STALLINGS M.D. (NPI 1154778629) is an individual family medicine provider in Norcross, Georgia, licensed in Georgia (410401) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Georgetown University School Of Medicine (1992).

NPPES Registry Identity

NPI1154778629

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. RAYVELLE ANTOINETTE STALLINGSCredential: M.D.

Location Address1626 JEURGENS CTNorcross, GA 30093-2219

Mailing Address1626 Jeurgens CtNorcross, GA 30093-2219 · (770) 279-6200

Phone(816) 843-5810

Fax(816) 843-6415

Sole ProprietorYes

Medical School CMSGeorgetown University School Of MedicineGraduated 1992

Enumeration DateMay 15, 2016

Last NPPES UpdateApril 11, 20252 updates tracked since enumeration

NPPES CertifiedApril 11, 2025

✔ NPI 1154778629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in GA · 410401

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1626 JEURGENS CT, Norcross, GA 30093

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Secondary Practice Locations 2

Location 1441 Randall H Whiddon DrAshburn, GA 31714-5410 · Phone (770) 279-6200

Location 2104 Monk StSylvester, GA 31791-7246 · Phone (229) 776-5541

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Rayvelle Antoinette Stallings M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547252553

PECOS Enrollment IDI20040331000782

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 Rayvelle Stallings reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pruitthealth Therapy Services, Inc.

Same address

Rehabilitation

1626 JEURGENS CT
Norcross, GA 30093

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

NPI 1013152933 (770) 279-6200

Pruitthealth Physicians Services, LLC

Same address

Internal Medicine

1626 JEURGENS CT
Norcross, GA 30093

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

NPI 1043676299 (770) 279-6200

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 30093 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.

PRUITTHEALTH THERAPY SERVICES, INC.

Clinic/Center (Rehabilitation)

1626 JEURGENS CT
NORCROSS, GA 30093

Gwinnett County (770) 279-6200

PRUITTHEALTH PHYSICIANS SERVICES, LLC

Internal Medicine

1626 JEURGENS CT
NORCROSS, GA 30093

Gwinnett County (770) 279-6200

MELANY EDEN LYKKE NP

Nurse Practitioner (Family)

1626 JEURGENS CT
NORCROSS, GA 30093

Gwinnett County (770) 279-6200

PRUITTHEALTH HOSPICE, INC.

Hospice Care, Community Based

1626 JEURGENS CT
NORCROSS, GA 30093

Gwinnett County (404) 292-2081

PRUITTHEALTH PHARMACY SERVICES - ATLANTA, INC.

Pharmacy (Community/Retail Pharmacy)

1626 JEURGENS CT, SUITE A
NORCROSS, GA 30093

Gwinnett County (678) 533-6459

NICOLE D ARNOLD FNP

Nurse Practitioner (Family)

1626 JEURGENS CT
NORCROSS, GA 30093

Gwinnett County (404) 399-2578

NASSIFATOU BAKARY

Nurse Practitioner (Family)

1626 JEURGENS CT
NORCROSS, GA 30093

Gwinnett County (770) 279-6200

PRUITTHEALTH FAMILY FIRST, INC.

Technician (Personal Care Attendant)

1626 JEURGENS CT
NORCROSS, GA 30093

Gwinnett County (770) 279-6200

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 Rayvelle Stallings's NPI number?

The NPI number for Rayvelle Stallings is 1154778629. It was assigned to this individual provider in the NPPES registry on May 15, 2016.

Where is Rayvelle Stallings located?

Rayvelle Stallings practices at 1626 Jeurgens Ct, Norcross, GA 30093. The listed phone number is (816) 843-5810.

What is Rayvelle Stallings's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Rayvelle Stallings enrolled in Medicare?

Yes. Rayvelle Stallings is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Rayvelle Stallings's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rayvelle Stallings reassigns Medicare benefits to 2 organizations: Pruitthealth Therapy Services, Inc. (Norcross, GA) and Pruitthealth Physicians Services, LLC (Norcross, GA). Each 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 Rayvelle Stallings's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Rayvelle Stallings was last updated on April 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.