Individual provider Active NPI

Ruth Adetoun Adene-Peter, M.D.

  • Family Medicine Physician
  • Athens, GA
National Provider Identifier
1073704375
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
63282 Issued in GA
Practice address
485 Highway 29 N
Athens, GA 30601-5583
Phone
(706) 438-4080
Fax
(706) 438-4081
NPI assigned
Aug 5, 2007
Last updated
Mar 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 50160 KY
Family Medicine Physician 207Q00000X 63282 GA Primary

Addresses

Primary practice location

485 Highway 29 N
Athens, GA 30601-5583

Mailing address

1245 Town Centre Village Dr Apt 4122
McDonough, GA 30253-6174
Phone (678) 982-4849

Other practice location 1

2406 W Broadway
Louisville, KY 40211-1008
Phone (502) 775-1211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100813000283 GA Practitioner - HospitalistPractitioner - Family PracticePractitioner - Emergency Medicine 6204960164
I20240412001685 GA Practitioner - Family PracticePractitioner - Internal Medicine 6204960164 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Department of Behavioral Health & Developmental Disabilities, Ga CurrentSince Jun 17, 2025 Accepting new patients
Qcpi-Villagemd, PC Family Medicine CurrentSince Jan 20, 2025 Accepting new patients
Department of Behavioral Health and Developmental Disabilities Current Accepting new patients
Department of Behavioral Health and Developmental Disabilities CurrentSince Jun 17, 2025 Accepting new patients
Adel Emergency Physicians, LLC Past Accepting new patients
Nes Georgia, Inc. Past Accepting new patients
Taylor Regional Emergency Physicians, LLC Past Accepting new patients
Carter Emergency Physicians Past Accepting new patients
McCabe Medical Group LLC PastSince Jul 1, 2012 Accepting new patients
Ogeechee Valley Emergency Physicians Past Accepting new patients

Locations

3405 Old Savannah Rd
Augusta, GA 30906
Phone (705) 790-2030

3000 Schatulga Rd
Columbus, GA 31907
Phone (706) 568-5202

1104 W Taylor St
Griffin, GA 30223
Phone (770) 227-1587

1805 Parke Plaza Cir
Ste 101
Stone Mtn, GA 30087
Phone (770) 469-7000

Interoperability endpoints

  • Direct secure messaging: radenepeter189323@direct.nortonhealthcare.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1073704375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 TOWN CENTRE VILLAGE DR APT 4122",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302536174",
            "telephone_number": "678-982-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 HIGHWAY 29 N",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306015583",
            "telephone_number": "706-438-4080",
            "fax_number": "706-438-4081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2406 W Broadway",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402111008",
            "country_code": "US",
            "telephone_number": "502-775-1211",
            "fax_number": "502-443-9391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADENE-PETER",
        "first_name": "RUTH",
        "middle_name": "ADETOUN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "50160",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "63282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.