Ruth Adetoun Adene-Peter, M.D.
Individual provider Active NPI Family Medicine Physician · Athens, GA
NPI 1073704375 · NPPES record last updated Mar 5, 2024
Key facts
- NPI
- 1073704375
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 63282 (GA)
- Practice address
- 485 Highway 29 N
Athens, GA 30601-5583 - Phone
- (706) 438-4080
- Fax
- (706) 438-4081
- NPI assigned
- Aug 5, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100813000283 | GA | Practitioner - Hospitalist |
6204960164 | |
| I20240412001685 | GA | Practitioner - Family Practice |
6204960164 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of Behavioral Health and Developmental Disabilities | Current | Accepting new patients | |
| Department of Behavioral Health and Developmental Disabilities | Current |
Accepting new patients | |
| Department of Behavioral Health & Developmental Disabilities, Ga | Current |
Accepting new patients | |
| Qcpi-Villagemd, PC | Family Medicine | Current |
Accepting new patients |
| McCabe Medical Group 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 | |
| Ogeechee Valley Emergency Physicians | Past | Accepting new patients | |
| Adel Emergency Physicians, LLC | 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
- radenepeter189323@direct.nortonhealthcare.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 50160 | KY | |
| Family Medicine Physician | 207Q00000X | 63282 | GA | Yes |
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
Other providers in Athens, GA
- Sylvanus Nii Lomotey Addotey
- Ashley R Ade
- Azeez Popoola Adeduntan
- Ayodele Adegunwa
- Tejumade Adelore
- Arinola Adesuyi-Dibden
- Prakash Adhikari
- Azubueze A Adogu
- Martine P Adogu
- Adult and Child Counseling of Athens LLC
All providers in Athens, GA · Family Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.