Rutland Family Healthcare LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

04996 Issued in GA

Legal business name

RUTLAND FAMILY HEALTHCARE LLC

Practice address

5569 Houston Rd
Macon, GA 31216-5709

Phone

(478) 781-5065

Fax

(478) 781-0012

NPI assigned

Jun 17, 2006

Organization subpart

No

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

Authorized official

Name

Marcus L Simmons, MDNPI 1770511180

Title

MD/Owner

Phone

(478) 781-5065

Specialties & licenses 2

Addresses

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 4

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

• Marcus L Simmons, MD

  • Internal Medicine Physician
  • Macon, GA
  • NPI 1770511180

  GA, Internal Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Kate Moore Durkee, FNP-C

  • Family Nurse Practitioner
  • Macon, GA
  • NPI 1609277664

  GA

  Medicare reassignment Care Compare group NPD
• Tara J Dixon, NP

  • Family Nurse Practitioner
  • Macon, GA
  • NPI 1598956120

  GA

  Medicare reassignment NPD
• Joseph T. Smoak, PA

  • Physician Assistant
  • Macon, GA
  • NPI 1659773018

  GA

  Medicare reassignment

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644364800000",
    "number": "1366487019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5569 HOUSTON RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312165709",
            "telephone_number": "478-781-5065",
            "fax_number": "478-781-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5569 HOUSTON RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312165709",
            "telephone_number": "478-781-5065",
            "fax_number": "478-781-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTLAND FAMILY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "478-781-5065",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "04996",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy R Rusmisell, PA-AA
• Russell G. O'Neal, M.D., L.L.C.
• Tamatha Rutherford, SPEECH-LANGUAGE PATH
• Ruthie'S Assisted Living Inc.
• Wanda Rutland Bond
• Rutland Medical Supply
• Katie Elizabeth Rutland, MA
• Deborah K Ryan, R.P.T.
• Samantha Nicole Ryan, BCBA
• S. Jackson Psychiatry

• All providers in Macon, GA
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.