NPPES file of Aug 9, 2026

Rachel Middleton Spagnoli

Nurse Practitioner · Alpharetta, GA

Rachel Middleton Spagnoli is a nurse practitioner with a practice address in Alpharetta, Georgia, and NPI 1255890943, issued on Mar 13, 2019. Check the license (Georgia RN222965, as entered in NPPES) with the Georgia board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1255890943
Name
Rachel Middleton Spagnoli
Primary taxonomy
Nurse Practitioner 363L00000X
License number
RN222965 GA
Self-reported in NPPES; status is on the state search
Practice location
3400 Old Milton Pkwy Ste A510, Alpharetta, GA 30005
Phone
(470) 297-0418
Enumerated
Mar 13, 2019
Record last updated
Sep 25, 2023
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 3400 Old Milton Pkwy Ste A510

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Ayesha Niazy, MDFamily Medicine Physician1770132698
  2. Darya Sterling, D.OFamily Medicine Physician1376958850
  3. Rajiv Tejura, M.D.Family Medicine Physician1205065604
  4. Bryan Vo, M.D.Family Medicine Physician1477903961

Verify Rachel Middleton Spagnoli in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Georgia board licenses this profession
    Search for license RN222965
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Georgia license search

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81% fewer Medicare Part D claims than the average nurse practitioner in 2024

214 Medicare Part D claims for 47 beneficiaries, against an average of 1,109 among the 54,319 providers of this specialty who prescribed in Part D. Brand-name drugs were 18% of claims.

  1. Rachel Spagnoli214
  2. Specialty average1,109

Most prescribed

  1. Atorvastatin Calcium15 claims
  2. Lisinopril14 claims
  3. Amlodipine Besylate13 claims
  4. Advair Hfa11 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Industry payments in 2024: $946.35

50 payments; by number, the most common kind was food and beverage; the largest payer was Novo Nordisk Inc. The 38,884 providers of this specialty with any payment received $791.64 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Rachel Spagnoli$946.35
  2. Specialty average$791.64

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Rachel Middleton Spagnoli among 3,109 nurse practitioner records in Georgia

Rachel Middleton Spagnoli is one of 3,109 nurse practitioner records with a practice address in Georgia. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2019, is newer than 58% of them.

  • NPI issued2019 · 58% of these records are older, 35% newer
  • In a Medicare fileYes · 75% of these records are
  • In the CMS Doctors and Clinicians fileNo · 56% of these records are
  • Record last updated2023 · 43% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363L00000X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Nurse Practitioner providers in Georgia

There are 3,109 nurse practitioner records in Georgia.

The 8 nurse practitioner records with the nearest ZIP codes

  1. Ashleigh Emkin, NPAlpharetta, GA 300051225882921
  2. Sloan Greer, NPAlpharetta, GA 300051154673861
  3. Terrance Henderson, AGNP-CAlpharetta, GA 300051003580986
  4. Madison Hurst, FNP-CAlpharetta, GA 300051841180452
  5. Emily Kennedy, NP-CAlpharetta, GA 300051346761848
  6. Jung Min LeeAlpharetta, GA 300051366193500
  7. Garrett Medley, FNPAlpharetta, GA 300051659088078
  8. Brett PerkinsAlpharetta, GA 300051245034412

Common questions

What is Rachel Middleton Spagnoli's NPI number?

Rachel Middleton Spagnoli's National Provider Identifier (NPI) is 1255890943, issued on Mar 13, 2019. An NPI identifies a provider in billing; it is not a license.

Where is Rachel Middleton Spagnoli located?

The NPPES record lists a practice address at 3400 Old Milton Pkwy Ste A510, Alpharetta, GA, 30005. Phone: (470) 297-0418. Providers update this record themselves, so call before visiting.

How can I verify Rachel Middleton Spagnoli's license?

NPPES lists Georgia license number RN222965, as entered by the provider. Search the Georgia board that licenses this profession; the NPPES record confirms identity only.

How much does Rachel Middleton Spagnoli prescribe under Medicare Part D?

In 2024, Rachel Middleton Spagnoli had 214 Medicare Part D claims for 47 beneficiaries; the average among nurse practitioner prescribers was 1,109. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.