Tamara Allison Rutledge, CNP

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

APRN11003092 Issued in FL

Practice address

1800 Northside Forsyth Dr Ste 350
Cumming, GA 30041-8483

Phone

(770) 886-3555

Fax

(678) 807-6050

NPI assigned

Jun 14, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Tamara A Dimaio Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: trutledge229224@mhsdirect.net

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1629638440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 NORTHSIDE FORSYTH DR STE 350",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300418483",
            "telephone_number": "770-886-3555",
            "fax_number": "678-807-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 NORTHSIDE FORSYTH DR STE 350",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300418483",
            "telephone_number": "770-886-3555",
            "fax_number": "678-807-6050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1951 SW 172nd Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330295613",
            "country_code": "US",
            "telephone_number": "954-885-5030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7100 W 20th Ave Ste 315",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330161811",
            "country_code": "US",
            "telephone_number": "954-822-3044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUTLEDGE",
        "first_name": "TAMARA",
        "middle_name": "ALLISON",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-14",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN319814",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11003092",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "FL",
            "license": "APRN11003092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMARA",
            "last_name": "DIMAIO",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dustin Lee Russell, MD
• Esther Jackson Russell, FNP-C
• Madison Ragan Hoover Russell, M.S., BCBA
• Gabrielle Russo
• Georgia M Rutledge, PA-C
• Allyson Ryals, OT
• Stanley C Ryals, DMD
• Carmaria Ryan, FNP
• Colten Ryan, PHARMD
• Malia Ryder

• Obstetrics & Gynecology Nurse Practitioner in Cumming, GA
• Providers in Cumming, GA by specialty
• Obstetrics & Gynecology Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.