Adriana Sofia Ruiz, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

11364 Issued in GA

Practice address

1800 Howell Mill Rd NW Ste 450
Atlanta, GA 30318-2508

Phone

(404) 355-4393

Fax

(404) 609-7665

NPI assigned

Oct 18, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Adriana Sofia Ruiz Rosario Other name

Medicare fee-for-service enrollment

Enrolled in NV, GA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Atlanta Diabetes Associates

  • Endocrinology, Diabetes & Metabolism Physician
  • Atlanta, GA
  • NPI 1366492282
  Medicare reassignment
• Palm Medical Group LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Las Vegas, NV
  • NPI 1023236668
  Medicare reassignment
• Van Meter Pediatric Endocrinology

  dba Atlanta Diabetes Associates

  • Pediatric Endocrinology Physician
  • Atlanta, GA
  • NPI 1487967360
  NPD
• Palm Medical Group, Nakhle MD, PLLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Las Vegas, NV
  • NPI 1710394440
  NPD (past)

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1386997039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 HOWELL MILL RD NW STE 450",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182508",
            "telephone_number": "404-355-4393",
            "fax_number": "404-609-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 HOWELL MILL RD NW STE 450",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182508",
            "telephone_number": "404-355-4393",
            "fax_number": "404-609-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "ADRIANA",
        "middle_name": "SOFIA",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-18",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA1383",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "11364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003281920A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIANA",
            "last_name": "RUIZ ROSARIO",
            "middle_name": "SOFIA",
            "credential": "PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lisa Ann Ruger, LMT
• Andrew Todd Rugg, MS, NCC, APC
• Ravi Ruhil, MD
• Sarah Abigail Ruhumuliza
• Mildret Ruiz Pena
• Bobbie Kristena Ruiz, FNP-BC BSN RN
• Daniel Alberto Ruiz, MD
• Donna L Ruiz, RD, LD
• Jose Ruiz Jr.
• Maria A Ruiz, APRN, NNP-BC

• Medical Physician Assistant in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.