Judith Ruth Medical Center LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

JUDITH RUTH MEDICAL CENTER LLC

Practice address

10494 Veterans Memorial Hwy Ste 5
Lithia Springs, GA 30122-2061

Phone

(404) 793-3806

Fax

(770) 502-6715

NPI assigned

May 25, 2023

Last updated

Mar 25, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Natalie McCall-Gaston, FNPNPI 1639515455

Title

Ceo/Founder

Phone

(404) 793-3806

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Judith Ruth Medical Center LLC Other name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Natalie Yvonne McCall-Gaston, FNP

  • Family Nurse Practitioner
  • Austell, GA
  • NPI 1639515455
  Medicare reassignment NPD Authorized official
• Debbie Renee Brewer, M.D.

  • Internal Medicine Physician
  • Douglasville, GA
  • NPI 1215209275
  Medicare reassignment NPD
• Wendy Winkleman Roberts, RDN, LDN

  • Registered Dietitian
  • Smyrna, GA
  • NPI 1659042497
  Medicare reassignment NPD
• Fredniki Ladoris Sanders, CRNP

  • Family Nurse Practitioner
  • Covington, GA
  • NPI 1043192164

  Single Specialty

  Medicare reassignment NPD
• Ricardy Noncirel, APRN

  • Family Nurse Practitioner
  • Delray Beach, FL
  • NPI 1922873009

  GA

  Medicare reassignment NPD
• Mithun Sam Daniel, D. O.

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1508206319
  Medicare reassignment
• Chinwe Okafor

  • Psychiatric/Mental Health Nurse Practitioner
  • Marietta, GA
  • NPI 1710595988
  NPD (past)

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1144912270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10494 VETERANS MEMORIAL HWY STE 5",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301222061",
            "telephone_number": "404-793-3806",
            "fax_number": "770-502-6715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10494 VETERANS MEMORIAL HWY STE 5",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301222061",
            "telephone_number": "404-793-3806",
            "fax_number": "770-502-6715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDITH RUTH MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-25",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "MCCALL-GASTON",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "404-793-3806",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003137957D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Judith Ruth Medical Center LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Judith Ruth Medical Center LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shevon Jones
• Jonvi Cares LLC
• Charice Wilson Jordan, PA-C
• Morgan Joseph, MD
• Lauren Lewis Judah, M.D.
• Mark William Justice, D.M.D.
• Kendi Beauty LLC
• Kerri Golding, PA
• Yumna Khan
• Sonya Khurana

• Family Nurse Practitioner in Lithia Springs, GA
• Providers in Lithia Springs, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.