George Staben Rust, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME46256 Issued in FL

Practice address

2911 Roberts Ave
Tallahassee, FL 32310-5007

Phone

(850) 644-1543

Fax

(855) 230-7421

NPI assigned

Feb 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Specialty

Family Practice

Education

Loyola University of Chicago, Stritch School of Medicine, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Department of HealthGroup PAC ID 3072424282, shared by 68 NPIs, 126 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Florida Department of Health

  • Public Health or Welfare Agency
  • Madison, FL
  • NPI 1245200641
  Medicare reassignment NPD
• Florida Department of Health

  • Public Health or Welfare Agency
  • Monticello, FL
  • NPI 1346214491
  Medicare reassignment NPD
• Florida Department of Health

  • Public Health or Welfare Agency
  • Port St Joe, FL
  • NPI 1407828189
  Medicare reassignment NPD
• Florida Department of Health

  • Public Health or Welfare Agency
  • Tallahassee, FL
  • NPI 1568428837
  Medicare reassignment NPD
• Florida Department of Health

  • Public Health or Welfare Agency
  • Apalachicola, FL
  • NPI 1902879786
  Medicare reassignment NPD
• Florida Medical Practice Plan Inc

  • General Practice Physician
  • Tallahassee, FL
  • NPI 1326386293
  Medicare reassignment NPD
• Florida Department of Health

  • Public Health or Welfare Agency
  • Bronson, FL
  • NPI 1154395390
  NPD

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1346376308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 W CALL ST",
            "address_2": "FSU-COM, DEPT OF BSSM",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323043556",
            "telephone_number": "850-644-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 ROBERTS AVE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323105007",
            "telephone_number": "850-644-1543",
            "fax_number": "855-230-7421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUST",
        "first_name": "GEORGE",
        "middle_name": "STABEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "FL",
            "license": "ME46256",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME46256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russo Chiropractic and Rehab LLC
• Ariel Russo
• Fred E Russo, D.C.
• Russtech Language Services, Inc.
• Casey Nicole Rust, M.D.
• Ruth-Paul in-Home Senior Care LLC
• Emillie Rutkowski, RBT
• John Macy Rutledge, MD
• Erin Roberts Ryals, APRN
• Kelly Ryals

• Family Medicine Physician in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.