MRS. RACHAEL RIDGE PA
NPI 1790213437
Physician Assistant in Decatur, GA

Active since May 25, 2017PECOS EnrolledAccepts Medicare Assignment
89.55/100
CMS Quality Rating
2701 N DECATUR RD, DECATUR, GA 30033(404) 501-1000 Get Directions Write a Review

NPPES record last updated: July 11, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 11, 2017, May 25, 2017 (2 updates tracked since 2017).

About Mrs. Rachael Ridge Pa NPPES

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

MRS. RACHAEL RIDGE PA (NPI 1790213437) is an individual physician assistant in Decatur, Georgia and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and is a graduate of Mercer University School Of Medicine (2017).

NPPES Registry Identity

NPI1790213437
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. RACHAEL RIDGECredential: PA
Location Address2701 N DECATUR RDDecatur, GA 30033-5918
Mailing Address1726 Hunters Trce SwLilburn, GA 30047-2551
Sole ProprietorNo
Medical School CMSMercer University School Of MedicineGraduated 2017
Enumeration DateMay 25, 2017
Last NPPES UpdateJuly 11, 20172 updates tracked since enumeration
NPI 1790213437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2701 N DECATUR RD, Decatur, GA 30033

Other Names 1

Professional Name (2)Ms. Rachael Prather Pa

Accepted Insurance

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

Mrs. Rachael Ridge Pa 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 ID4587936109
PECOS Enrollment IDI20170816004152
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30033 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
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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.

89.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.45
Improvement Activities40
Cost100

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
2701 N DECATUR RD
DECATUR, GA 30033
Advanced Practice Midwife
2701 N DECATUR RD
DECATUR, GA 30033
Dentist (Oral and Maxillofacial Pathology)
2701 N DECATUR RD
DECATUR, GA 30033
Student in an Organized Health Care Education/Training Program
2701 N DECATUR RD
DECATUR, GA 30033
Anesthesiology
2701 N DECATUR RD
DECATUR, GA 30033
Clinical Neuropsychologist
2701 N DECATUR RD
DECATUR, GA 30033
Pathology (Anatomic Pathology & Clinical Pathology)
2701 N DECATUR RD
DECATUR, GA 30033
Occupational Therapist
2701 N DECATUR RD
DECATUR, GA 30033

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 Rachael Ridge's NPI number?

The NPI number for Rachael Ridge is 1790213437. It was assigned to this individual provider in the NPPES registry on May 25, 2017. The provider is also known as Ms. Rachael Prather PA.

Where is Rachael Ridge located?

Rachael Ridge practices at 2701 N Decatur Rd, Decatur, GA 30033. The listed phone number is (404) 501-1000.

What is Rachael Ridge's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Rachael Ridge enrolled in Medicare?

Yes. Rachael Ridge 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.

What insurance does Rachael Ridge accept?

Health plans from Oscar Insurance Company list Rachael Ridge 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 Rachael Ridge was last updated on July 11, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.