Rutland Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

PHRE008591 Issued in GA

Legal business name

RUTLAND MEDICAL SUPPLY

Practice address

3035 Hartley Bridge Road
Suite 2
Macon, GA 31216

Phone

(478) 781-1051

Fax

(478) 781-6659

NPI assigned

Nov 28, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Mitchell S Herrington

Title

Owner

Phone

(912) 568-7414

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013083336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 HARTLEY BRIDGE ROAD",
            "address_2": "SUITE 2",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31216",
            "telephone_number": "478-781-1051",
            "fax_number": "478-781-6659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 HARTLEY BRIDGE ROAD",
            "address_2": "SUITE 2",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31216",
            "telephone_number": "478-781-1051",
            "fax_number": "478-781-6659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTLAND MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERRINGTON",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-568-7414",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "PHRE008591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00941333A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Russell G. O'Neal, M.D., L.L.C.
• Tamatha Rutherford, SPEECH-LANGUAGE PATH
• Ruthie'S Assisted Living Inc.
• Wanda Rutland Bond
• Rutland Family Healthcare LLC
• Katie Elizabeth Rutland, MA
• Deborah K Ryan, R.P.T.
• Samantha Nicole Ryan, BCBA
• S. Jackson Psychiatry
• S.Dekalb Foot & Ankle Surgical Ctr

• All providers in Macon, GA
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.