Organization Active NPI

Rutledge Medical Associates LLC

  • Primary Care Clinic/Center
  • East Point, GA
National Provider Identifier
1407260557
Registry record updated Sep 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
RUTLEDGE MEDICAL ASSOCIATES LLC
Practice address
2788 Bayard St
Suite 100
East Point, GA 30344-3441
Phone
(813) 728-3414
NPI assigned
Jun 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2014

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

Authorized official

Name
Nekeidra Rutledge
Title
Owner
Phone
(352) 213-0241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2788 Bayard St
Suite 100
East Point, GA 30344-3441

Mailing address

2788 Bayard St
Suite 100
East Point, GA 30344-3441
Phone (813) 728-3414

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410134400000",
    "number": "1407260557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2788 BAYARD ST",
            "address_2": "SUITE 100",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443441",
            "telephone_number": "813-728-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2788 BAYARD ST",
            "address_2": "SUITE 100",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443441",
            "telephone_number": "813-728-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTLEDGE MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-17",
        "last_updated": "2014-09-08",
        "status": "A",
        "authorized_official_last_name": "RUTLEDGE",
        "authorized_official_first_name": "NEKEIDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-213-0241"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Point, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.