RST Group Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

RST GROUP INC

Practice address

501 Riverside Dr
Waycross, GA 31501-5316

Phone

(912) 283-6152

Fax

(912) 283-5264

NPI assigned

Nov 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Marco A Ayulo, M.D.

Title

President

Phone

(912) 283-6152

Specialties & licenses 2

Addresses

Tax ID family

RST Group Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• RST Group, Inc.

  • Allergy & Immunology (Internal Medicine) Physician
  • Atlanta, GA
  • NPI 1306090121
  NPD tax ID

Locations

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226620800000",
    "number": "1649424144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 POWERS FERRY RD NW",
            "address_2": "SUITE 600-172",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392919",
            "telephone_number": "912-283-6152",
            "fax_number": "912-283-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 RIVERSIDE DR",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315015316",
            "telephone_number": "912-283-6152",
            "fax_number": "912-283-5264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RST GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-11",
        "last_updated": "2008-11-14",
        "status": "A",
        "authorized_official_last_name": "AYULO",
        "authorized_official_first_name": "MARCO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-283-6152",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystal Nakita Robinson, LMFT
• David Samuel Roth, M.D.
• William Monroe Rouse Jr., APRN-BC
• John Roger Rowell, NP
• Melinda Rozier, RN
• Shelby Rumker
• Karli Brooke Russell, LPC
• Eduardo F Safille, MD
• Salus Virtual Care Clinic
• Sankofa Healing and Enrichment, Inc.

• Internal Medicine Physician in Waycross, GA
• Providers in Waycross, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.