Individual provider Active NPI

Vanessa N. Goyes Ruiz, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Newnan, GA
National Provider Identifier
1164809885
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
96795 Issued in GA
Practice address
2301 Newnan Crossing Blvd E Ste 210
Newnan, GA 30265-2576
Phone
(770) 400-7800
NPI assigned
May 1, 2015
Reactivated
Jan 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 96795 GA
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 96795 GA Primary

Addresses

Primary practice location

2301 Newnan Crossing Blvd E Ste 210
Newnan, GA 30265-2576

Mailing address

56 Franklin Street
Waterbury, CT 06706
Phone (203) 709-8685

Other practice location 1

56 Franklin Street
Waterbury, CT 06706
Phone (203) 709-8685

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, 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
I20201019002384 NY Practitioner - Endocrinology 6800192907 Reassigns benefits to 2 organizations
I20231219001189 GA Practitioner - Endocrinology 6800192907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Providers LLCGroup PAC ID 9830082825, 526 clinicians

Practice addresses (Care Compare)

2301 Newnan Crossing Blvd E
Suite 210
Newnan, GA 30265-2576
Phone (770) 400-7800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.62 of 100Reported as apm
Quality
77.97
Promoting interoperability
98
Improvement activities
40

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

State licenses

LicenseStateTypeSpecialty
96795GAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Imogene Bassett Hospital CurrentSince Sep 14, 2020 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Sep 14, 2020 Accepting new patients
Piedmont Providers LLC Internal Medicine CurrentSince Dec 1, 2023 Accepting new patients

Locations

2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421

1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210

2301 Newnan Crossing Blvd E
Ste 210
Newnan, GA 30265
Phone (770) 400-7800

745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480

130 North St
Walton, NY 13856
Phone (607) 865-6541

Organizations & group practices 3

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1164809885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 FRANKLIN STREET",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "06706",
            "telephone_number": "203-709-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 NEWNAN CROSSING BLVD E STE 210",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652576",
            "telephone_number": "770-400-7800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "56 Franklin Street",
            "address_purpose": "LOCATION",
            "city": "Waterbury",
            "state": "CT",
            "postal_code": "06706",
            "country_code": "US",
            "telephone_number": "203-709-8685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOYES RUIZ",
        "first_name": "VANESSA",
        "middle_name": "N.",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-01",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "deactivation_date": "2015-12-09",
        "reactivation_date": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "96795",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "GA",
            "license": "96795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.