Anthony Marquette Rucker

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

APC006817 Issued in GA

Practice address

104 Borders Way
Warner Robins, GA 31088-8966

Phone

(470) 399-7775

NPI assigned

Nov 22, 2023

Last updated

Nov 22, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Georgia Behavioral Services LLCGroup PAC ID 3072845692, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

• Georgia Behavioral Services, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Warner Robins, GA
  • NPI 1861931172
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1700611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1407621048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 PLANTATION CENTRE DR N APT 1603",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312109216",
            "telephone_number": "470-399-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 BORDERS WAY",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888966",
            "telephone_number": "470-399-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCKER",
        "first_name": "ANTHONY",
        "middle_name": "MARQUETTE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-22",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC006817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Justine Roy, PA-C
• Ethen Royal
• Kelsey Elliot Royal
• Dawn Marie Rozar, RN, APRN
• Jessica Desha Rozier
• Jack Howard Rumph, PHARMD
• Desmeyon Russell
• Zariah Russell
• Irwin Clyde Rutherford Jr., LPC
• Jeffrey Z. Rymuza, M.D.

• Mental Health Counselor in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.
• 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.