Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Rachel E Lebolo, AGPCNP

Individual provider Gerontology Nurse Practitioner · NPI 1801288337

Rachel E Lebolo, AGPCNP is a Nurse Practitioner in Gainesville, Georgia. Qualified in 2014, 12 years ago. Practices with Northside Cardiovascular Professional Services, LLC, a 142-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
12
Licensed in
GA
In the registry since
2015
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Practice location Address checks out

200 S Enota Dr NE Ste 100
Gainesville, GA 30501-3466
Phone: (770) 534-2020
Fax: (770) 534-8025
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence RN207232 (GA)

Record details

NPI number1801288337
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP
Sole proprietorNo
NPI enumeratedFebruary 20, 2015
Last updated in NPPESOctober 8, 2025
Certification dateOctober 8, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Northside Cardiovascular Professional Services, Llc — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Gainesville