JOSHUA RAYFORD NP-C
NPI 1538607262
Nurse Practitioner - Family in Atlanta, GA

Active since February 01, 2017PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
1520 AVENUE PL, ATLANTA, GA 30329(866) 389-2727 Get Directions Write a Review

NPPES record last updated: March 3, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 3, 2017, Feb 1, 2017 (2 updates tracked since 2017).

About Joshua Rayford Np-c NPPES

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

JOSHUA RAYFORD NP-C (NPI 1538607262) is an individual family provider in Atlanta, Georgia, licensed in Georgia (RN208430) and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1538607262
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJOSHUA RAYFORDCredential: NP-C
Location Address1520 AVENUE PLAtlanta, GA 30329-4015
Mailing Address1520 Avenue PlAtlanta, GA 30329-4015 · (678) 906-6140
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 1, 2017
Last NPPES UpdateMarch 3, 20172 updates tracked since enumeration
NPI 1538607262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN208430
1520 AVENUE PL, Atlanta, GA 30329

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Joshua Rayford Np-c 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 ID7911284732
PECOS Enrollment IDI20170504001241
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
36 services29 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
32 services29 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
26 services25 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services17 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Saint Joseph's Hospital Of Atlanta, Inc

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110082
Location5665 Peachtree Dunwoody RoadAtlanta, GA 30342 · Fulton County
Emergency services

Emory Johns Creek Hospital

Acute Care Hospitals · Johns Creek, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110230
Location6325 Hospital ParkwayJohns Creek, GA 30097 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30329 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 9

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

Nurse Practitioner (Family)
1520 AVENUE PL
ATLANTA, GA 30329
Pharmacist
1520 AVENUE PL
ATLANTA, GA 30329
Nurse Practitioner (Family)
1520 AVENUE PL
ATLANTA, GA 30329
Nurse Practitioner (Family)
1520 AVENUE PL
ATLANTA, GA 30329
Pharmacy
1520 AVENUE PL, SUITE B-100
ATLANTA, GA 30329
Nurse Practitioner (Family)
1520 AVENUE PL
ATLANTA, GA 30329
Nurse Practitioner (Family)
1520 AVENUE PL
ATLANTA, GA 30329
Nurse Practitioner (Family)
1520 AVENUE PL
ATLANTA, GA 30329

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 Joshua Rayford's NPI number?

The NPI number for Joshua Rayford is 1538607262. It was assigned to this individual provider in the NPPES registry on February 1, 2017.

Where is Joshua Rayford located?

Joshua Rayford practices at 1520 Avenue Pl, Atlanta, GA 30329. The listed phone number is (866) 389-2727.

What is Joshua Rayford's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Joshua Rayford enrolled in Medicare?

Yes. Joshua Rayford 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.

Is Joshua Rayford affiliated with any hospitals?

According to CMS data, Joshua Rayford is affiliated with Emory University Hospital, Emory University Hospital Midtown, Saint Joseph's Hospital Of Atlanta, Inc and Emory Johns Creek Hospital.

When was this NPI record last updated?

The NPPES record for Joshua Rayford was last updated on March 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.