Rutherford Medical Center LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

RUTHERFORD MEDICAL CENTER LLC

Practice address

12755 Century Dr Unit a
Alpharetta, GA 30009-8377

Phone

(770) 696-2265

Fax

(770) 696-2156

NPI assigned

Dec 8, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Keviene Rutherford, MDNPI 1902811664

Title

Manager

Phone

(954) 483-1436

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keviene Rutherford, MD

  • Internal Medicine Physician
  • Alpharetta, GA
  • NPI 1902811664
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1326759408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12755 CENTURY DR UNIT A",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300098377",
            "telephone_number": "770-696-2265",
            "fax_number": "770-696-2156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12755 CENTURY DR UNIT A",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300098377",
            "telephone_number": "770-696-2265",
            "fax_number": "770-696-2156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTHERFORD MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-08",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "RUTHERFORD",
        "authorized_official_first_name": "KEVIENE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-483-1436",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "surescripts",
            "affiliation": "N",
            "endpointDescription": "Prescription",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "12755 Century Dr Unit A",
            "city": "Alpharetta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300098377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sarah Rudnicki
• Emily Ruggles, APC, CRC
• Lauren Runner, DC
• Angelica Russell
• Emily Russell
• Keviene Rutherford, MD
• Becky L Ryals, LCSW
• Ryan Bozof MD PC
• Maureen F Ryan
• Leah Rydel

• Internal Medicine Physician in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.