NPIMap

Individual provider Active NPI

Randall Joseph Ruark, M.D.

  • Orthopaedic Surgery Physician
  • Columbus, GA
National Provider Identifier
1437270691
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
054505 Issued in GA
Practice address
6262 Veterans Pkwy
Columbus, GA 31909-3540
Phone
(706) 324-6661
Fax
(706) 494-3201
NPI assigned
Apr 3, 2007
Last updated
Nov 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD.33867 AL
Orthopaedic Surgery Physician 207X00000X 054505 GA Primary

Addresses

Primary practice location

6262 Veterans Pkwy
Columbus, GA 31909-3540

Mailing address

PO Box 370
Fortson, GA 31808-0370

Other practice location 1

100 N Macon St
Macon, GA 31210-6563
Phone (478) 200-6970

Other practice location 2

512 N Shady Ln
Dothan, AL 36303-2991
Phone (334) 699-5747

Other practice location 3

161 E University Dr
Auburn, AL 36832-5889
Phone (334) 826-2090

Other practice location 4

107 Calumet Center Rd
LaGrange, GA 30241-6705
Phone (706) 884-3274

Other identifiers 2

IdentifierTypeStateIssuer
173852MedicaidAL
362979737VMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071219000131 GA Practitioner - Orthopedic Surgery 5890885594 Reassigns benefits to 2 organizations
I20150415001735 AL Practitioner - Orthopedic Surgery 5890885594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Medical College of Georgia School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hughston Clinic PCGroup PAC ID 1355254780, 111 clinicians

Practice addresses (Care Compare)

100 Frist CT
Columbus, GA 31909-3578
Phone (706) 494-2129

107 Calumet Ctr Rd
Lagrange, GA 30241-6705
Phone (706) 884-3274

161 E University Dr
Auburn, AL 36832-5889
Phone (334) 826-2090

4294 Lomac St
Montgomery, AL 36106-3604
Phone (334) 274-9000

4401 River Chase Dr
Phenix City, AL 36867-7483
Phone (334) 732-3000

512 N Shady LN
Dothan, AL 36303-2991
Phone (334) 699-5747

6262 Veterans Pkwy
Columbus, GA 31909-3540
Phone (706) 324-6661

710 Ctr St
Columbus, GA 31901-1527
Phone (706) 571-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.55 of 100Reported as individual
Quality
62.82
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement60
Knee replacement74
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
054505GAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Au Medical Associates Inc Orthopaedic Surgery CurrentSince Sep 1, 2007 Accepting new patients
Hughston Clinic, P.C. Orthopaedic Surgery CurrentSince Nov 1, 2014 Accepting new patients
Au Medical Associates Inc CurrentSince Sep 1, 2007 Accepting new patients
Hughston Clinic, PC Orthopaedic Surgery CurrentSince Nov 1, 2014 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Hughston Orthopaedic Southeast PC Orthopaedic Surgery PastSince Oct 1, 2020 Accepting new patients
Hughston Clinic Southeast PC PastSince Oct 1, 2020 Accepting new patients

Locations

161 E University Dr
Auburn, AL 36832
Phone (334) 699-5747

512 N Shady Ln
Dothan, AL 36303
Phone (334) 669-5747

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

1499 Walton Way
Ste 1400
Augusta, GA 30901
Phone (706) 721-4951

2000 10th Ave
Ste 270
Columbus, GA 31901
Phone (706) 571-1011

2548 Weems Rd
Columbus, GA 31909
Phone (404) 265-4000

6262 Veterans Pkwy
Columbus, GA 31909
Phone (706) 494-3071

6262 Veterans Pkwy
Unit B
Columbus, GA 31909
Phone (706) 494-3434

107 Calumet Center Rd
Lagrange, GA 30241
Phone (706) 884-3274

117 Oakland Pkwy
Leesburg, GA 31763
Phone (229) 420-1839

100 N Macon St
Macon, GA 31210
Phone (478) 200-6970

360 Hospital Dr
Ste 130
Macon, GA 31217
Phone (478) 200-6970

Interoperability endpoints

  • Direct secure messaging: randall.ruark.1@321.direct.athenahealth.com
  • Direct secure messaging: rruark@yourcarecommunity.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Jack Hughston Memorial HospitalPhenix City, AL, CCN 010168 Hospital 5% Or Greater Direct Ownership Interest (5.25%) Jan 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1437270691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "FORTSON",
            "state": "GA",
            "postal_code": "318080370",
            "fax_number": "706-494-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6262 VETERANS PKWY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319093540",
            "telephone_number": "706-324-6661",
            "fax_number": "706-494-3201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 N Macon St",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312106563",
            "country_code": "US",
            "telephone_number": "478-200-6970",
            "fax_number": "478-216-5976",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "512 N Shady Ln",
            "address_purpose": "LOCATION",
            "city": "Dothan",
            "state": "AL",
            "postal_code": "363032991",
            "country_code": "US",
            "telephone_number": "334-699-5747",
            "fax_number": "334-699-5750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "161 E University Dr",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "AL",
            "postal_code": "368325889",
            "country_code": "US",
            "telephone_number": "334-826-2090",
            "fax_number": "334-821-3191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 Calumet Center Rd",
            "address_purpose": "LOCATION",
            "city": "LaGrange",
            "state": "GA",
            "postal_code": "302416705",
            "country_code": "US",
            "telephone_number": "706-884-3274",
            "fax_number": "706-882-2940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUARK",
        "first_name": "RANDALL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "MD.33867",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "054505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173852",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "362979737V",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.