Jada Ea Moore-Ruffin, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35073421 Issued in OH

Practice address

5900 Hillandale Dr
Suite 215
Lithonia, GA 30058-3802

Phone

(770) 322-9660

Fax

(770) 322-1981

NPI assigned

Nov 17, 2005

Sex

Female

Sole proprietor

No

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: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Meharry Medical College School of Medicine, 1996

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Real Wellness Enterprises LLC

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1629930938
  Medicare reassignment NPD Authorized official
• Meridian Education Resource Group, Inc.

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1730305004
  NPD
• Morehouse Healthcare, Inc.

  • Cardiovascular Disease Physician
  • Atlanta, GA
  • NPI 1801832324
  NPD (past)

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431907200000",
    "number": "1447232103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 HILLANDALE DR",
            "address_2": "SUITE 215",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300583802",
            "telephone_number": "770-322-9660",
            "fax_number": "770-322-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 HILLANDALE DR",
            "address_2": "SUITE 215",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300583802",
            "telephone_number": "770-322-9660",
            "fax_number": "770-322-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE-RUFFIN",
        "first_name": "JADA",
        "middle_name": "EA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-17",
        "last_updated": "2015-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35073421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana M Molna
• Lawanna K Monday, DPM
• Chesmore Simon Montique, PHD
• Deborah Woods Moody, LICENSED DISPENSING
• Alicia Moore-Herron, RN
• Jacqueline Historian Moore, LPN
• Jonathan Moore
• Tierra Moore
• Gisell Morgan, BCBA
• Michele Morgan, LCSW

• Family Medicine Physician in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; 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.