RACHEL SPIVEY CPNP-AC/PC
NPI 1255045639
Nurse Practitioner - Pediatrics in Cartersville, GA

Active since January 10, 2023PECOS Enrolled
12 OXFORD DR, CARTERSVILLE, GA 30120(770) 606-1633 Get Directions Write a Review

NPPES record last updated: January 10, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Rachel Spivey Cpnp-ac/pc NPPES

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

RACHEL SPIVEY CPNP-AC/PC (NPI 1255045639) is an individual pediatrics provider in Cartersville, Georgia, licensed in Georgia (RN262476) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255045639
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameRACHEL SPIVEYCredential: CPNP-AC/PC
Location Address12 OXFORD DRCartersville, GA 30120-6489
Mailing Address12 Oxford DrCartersville, GA 30120-6489
Sole ProprietorNo
Enumeration DateJanuary 10, 2023
NPPES CertifiedJanuary 10, 2023
✔ NPI 1255045639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in GA · RN262476
12 OXFORD DR, Cartersville, GA 30120

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rachel Spivey Cpnp-ac/pc 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 Rachel Spivey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
435 2ND ST
Newport, TN 37821
  • Reassigned Medicare billing, Georgia enrollment
  • 330 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 30120 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.

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 Rachel Spivey's NPI number?

The NPI number for Rachel Spivey is 1255045639. It was assigned to this individual provider in the NPPES registry on January 10, 2023.

Where is Rachel Spivey located?

Rachel Spivey practices at 12 Oxford Dr, Cartersville, GA 30120. The listed phone number is (770) 606-1633.

What is Rachel Spivey's specialty?

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

Is Rachel Spivey enrolled in Medicare?

Yes. Rachel Spivey is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rachel Spivey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachel Spivey reassigns Medicare benefits to Emergency Coverage, LLC (Newport, TN). 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 Rachel Spivey'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 Rachel Spivey was last updated on January 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.