Active NPI
Rian Wellington Rutherford, M.D.
- Family Medicine Physician
- Kennesaw, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 99762
- Practice address
- 3895 Cherokee St NW Ste 400
Kennesaw, GA 30144-6732 - Phone
- (678) 369-7755
- Fax
- (415) 252-7176
- NPI assigned
- Apr 19, 2007
- Last updated
- Apr 18, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A95277 | CA | |
| Family Medicine Physician | 207Q00000X | 99762 | GA | Primary |
Addresses
Primary practice location
3895 Cherokee St NW Ste 400
Kennesaw, GA 30144-6732
Mailing address
3895 Cherokee St NW Ste 400
Kennesaw, GA 30144-6732
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rian.rutherford.p1@direct.venicefamilyclinic.nextgenshare.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Medical College of Wisconsin, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3895 Cherokee St NW
Suite 400
Kennesaw, GA 30144-6732
Phone (678) 369-7755
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Venice Family Clinic | Current | Accepting new patients | |
| Venice Family Clinic | Current | Accepting new patients | |
| Iora Health Georgia, P.C. | Current | Accepting new patients | |
| Iora Health Georgia, P.C. | Current | Accepting new patients | |
| Iora Senior Health, LLC | Current | Accepting new patients | |
| Venice Family Clinic | Current | Accepting new patients | |
| Venice Family Clinic | Current | Accepting new patients | |
| Iora Senior Health, LLC | Current | Accepting new patients | |
| Venice Family Clinic | Current | Accepting new patients | |
| Iora Senior Health, LLC | Current | Accepting new patients | |
| Venice Family Clinic | Past | Accepting new patients |
Locations
4700 Inglewood Blvd
Ste 101
Los Angeles, CA 90230
4700 Inglewood Blvd
Ste 102
Los Angeles, CA 90230
Phone (310) 664-7901
1 Embarcadero Ctr
Fl 19
San Francisco, CA 94111
Phone (415) 814-0927
2509 Pico Blvd
Santa Monica, CA 90405
Phone (310) 664-7901
604 Rose Ave
Venice, CA 90291
Phone (310) 392-8630
905 Venice Blvd
Venice, CA 90291
Phone (310) 392-8630
3527 Memorial Dr
Unit W
Decatur, GA 30032
Phone (404) 573-4844
3895 Cherokee St NW
Ste 400
Kennesaw, GA 30144
Phone (678) 369-7755
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 11
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.
-
- Federally Qualified Health Center (FQHC)
- Venice, CA
- NPI 1669418513
-
- Federally Qualified Health Center (FQHC)
- Culver City, CA
- NPI 1003842360
-
- Federally Qualified Health Center (FQHC)
- Venice, CA
- NPI 1124054564
-
- Federally Qualified Health Center (FQHC)
- Hawthorne, CA
- NPI 1518739515
-
- Federally Qualified Health Center (FQHC)
- Santa Monica, CA
- NPI 1558397067
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1790156917
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Wellstar Cobb Hospital
- General Acute Care Hospital
- Austell, GA
- NPI 1467420448
-
dba Wellstar Douglas Hospital
- General Acute Care Hospital
- Douglasville, GA
- NPI 1649247974
-
dba Wellstar Kennestone Hospital
- General Acute Care Hospital
- Marietta, GA
- NPI 1649248626
-
dba Wellstar Windy Hill Hospital
- Long Term Care Hospital
- Marietta, GA
- NPI 1700853041
Long-term care hospital
-
dba Northside Hospital Cherokee
- General Acute Care Hospital
- Canton, GA
- NPI 1225050396
-
dba Northside Hospital
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744934400000",
"number": "1447477500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3895 CHEROKEE ST NW STE 400",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301446732",
"fax_number": "415-252-7176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3895 CHEROKEE ST NW STE 400",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301446732",
"telephone_number": "678-369-7755",
"fax_number": "415-252-7176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUTHERFORD",
"first_name": "RIAN",
"middle_name": "WELLINGTON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-19",
"last_updated": "2025-04-18",
"certification_date": "2025-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A95277",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "99762",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rian.rutherford.p1@direct.venicefamilyclinic.nextgenshare.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "4700 Inglewood Blvd Ste 101",
"city": "Culver City",
"state": "CA",
"country_code": "US",
"postal_code": "902305896",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kennesaw, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; 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.