Active NPI
Rosa C Urrutia, MD
- Family Medicine Physician
- Smyrna, GA
National Provider Identifier
1437149036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 018967
- Practice address
- 562 Concord Rd SE
Smyrna, GA 30082-2608 - Phone
- (770) 384-9900
- Fax
- (770) 384-9912
- NPI assigned
- Oct 25, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 018967 | GA | Primary |
Addresses
Primary practice location
562 Concord Rd SE
Smyrna, GA 30082-2608
Mailing address
562 Concord Rd SE
Smyrna, GA 30082-2608
Phone (770) 384-9900
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rurrutia7756@directwellstar.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570060800000",
"number": "1437149036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "562 CONCORD RD SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300822608",
"telephone_number": "770-384-9900",
"fax_number": "770-384-9912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "562 CONCORD RD SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300822608",
"telephone_number": "770-384-9900",
"fax_number": "770-384-9912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URRUTIA",
"first_name": "ROSA",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-25",
"last_updated": "2019-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "018967",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rurrutia7756@directwellstar.org",
"affiliation": "N",
"address_1": "562 Concord Rd SE",
"city": "Smyrna",
"state": "GA",
"country_code": "US",
"postal_code": "300822608",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.