Individual provider Active NPI

Ruth G. McCaffrey, ANP

  • Family Nurse Practitioner
  • Dahlonega, GA
National Provider Identifier
1710179346
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN247058 Issued in GA
Practice address
95 Morrison Moore Pkwy W Ste 100
Dahlonega, GA 30533
Phone
(770) 219-9475
Fax
(706) 864-4484
NPI assigned
Aug 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
College Health Registered Nurse 163WC1400X 1656062 FL
Family Nurse Practitioner 363LF0000X RN247058 GA Primary

Addresses

Primary practice location

95 Morrison Moore Pkwy W Ste 100
Dahlonega, GA 30533

Mailing address

PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420

Other practice location 1

777 Glades Rd
Boca Raton, FL 33431-6424
Phone (561) 297-2945

Other practice location 2

777 Glades Rd
Boca Raton, FL 33431-6424
Phone (561) 297-2945

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rmccaffrey102598@nghs.gadirect.net Direct

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191120000030 GA Practitioner - Nurse Practitioner 8527490176 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1656062FLMDCollege Health Registered Nurse
RN247058GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Georgia Physicians Group Inc CurrentSince Nov 1, 2019 Accepting new patients
Montesol Medical Centers LLC PastSince Nov 13, 2022 Accepting new patients

Locations

30 Cottonwood St
Clayton, GA 30525
Phone (706) 782-5044

95 Morrison Moore Pkwy W
Dahlonega, GA 30533
Phone (706) 864-3323

95 Morrison Moore Pkwy W
Ste 100
Dahlonega, GA 30533
Phone (770) 219-9475

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1710179346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742616",
            "telephone_number": "770-219-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 MORRISON MOORE PKWY W STE 100",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "30533",
            "telephone_number": "770-219-9475",
            "fax_number": "706-864-4484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 Glades Rd",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334316424",
            "country_code": "US",
            "telephone_number": "561-297-2945",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "777 Glades Rd",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334316424",
            "country_code": "US",
            "telephone_number": "561-297-2945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCAFFREY",
        "first_name": "RUTH",
        "middle_name": "G.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-17",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, College Health",
            "state": "FL",
            "license": "1656062",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN247058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmccaffrey102598@nghs.gadirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "95 Morrison Moore Pkwy W Ste 100",
            "city": "Dahlonega",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dahlonega, GA

Sources for this page

Verify at the official NPI Registry.