Individual provider Active NPI

Rian Wellington Rutherford, M.D.

  • Family Medicine Physician
  • Kennesaw, GA
National Provider Identifier
1447477500
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
99762 Issued in GA
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110218000044 CA Practitioner - Family Practice 9234213323 Reassigns benefits to 1 organization
I20240812000472 GA Practitioner - Family Practice 9234213323 Reassigns benefits to 2 organizations

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
Iora Health Georgia PCGroup PAC ID 1850644394, 27 clinicians

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

OrganizationSpecialtyStatusNew patients
Venice Family Clinic Current Accepting new patients
Venice Family Clinic CurrentSince Jan 19, 2019 Accepting new patients
Iora Health Georgia, P.C. CurrentSince Aug 26, 2024 Accepting new patients
Iora Health Georgia, P.C. Current Accepting new patients
Iora Senior Health, LLC Current Accepting new patients
Venice Family Clinic CurrentSince Jan 19, 2019 Accepting new patients
Venice Family Clinic Current Accepting new patients
Iora Senior Health, LLC CurrentSince Aug 26, 2024 Accepting new patients
Venice Family Clinic Current Accepting new patients
Iora Senior Health, LLC CurrentSince Aug 26, 2024 Accepting new patients
Venice Family Clinic PastSince Mar 1, 2021 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

  • FHIR API: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.