Active NPI
Andres Camilo Ruiz, MD
- Neurocritical Care Physician
- Gainesville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurocritical Care Physician
- License
- 92874
- Practice address
- 743 Spring St NE
Gainesville, GA 30501-3715 - Phone
- (770) 219-9000
- NPI assigned
- Dec 3, 2009
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurocritical Care Physician | 2084A2900X | 2025-00249 | NC | |
| Neurology Physician | 2084N0400X | MD487794 | PA | |
| Neurology Physician | 2084N0400X | 2025-00249 | NC | |
| Neurocritical Care Physician | 2084A2900X | 82321 | SC | |
| Neurology Physician | 2084N0400X | 2017008829 | MO | |
| Neurocritical Care Physician | 2084A2900X | 92874 | GA | Primary |
| Neurocritical Care Physician | 2084A2900X | 2017008829 | MO |
Addresses
Primary practice location
743 Spring St NE
Gainesville, GA 30501-3715
Mailing address
PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420
Other practice location 1
228 Saint Charles Way Ste 200
York, PA 17402-4661
Phone (717) 851-5503
Other practice location 2
3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone (336) 718-7594
Other practice location 3
200 Patewood Dr Ste B350
Greenville, SC 29615-6337
Phone (864) 454-4500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740518695 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, GA, NC, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Mercer University School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10810 Mallard Creek Rd
Charlotte, NC 28262-9786
Phone (704) 510-8000
200 Patewood Dr
Suite B350
Greenville, SC 29615-6337
Phone (864) 454-4500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 92874 | GA | MD | Neurocritical Care Physician |
| 2025-00249 | NC | MD | Neurocritical Care Physician |
| 82321 | SC | MD | Neurocritical Care Physician |
| MD487794 | PA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Northeast Georgia Physicians Group Inc | Neurology | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients |
Locations
1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000
743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915
597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275
10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800
228 Saint Charles Way
Ste 200
York, PA 17402
210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123
200 Patewood Dr
Ste B350
Greenville, SC 29615
Phone (864) 454-4500
300 E McBee Ave
Ste 401
Greenville, SC 29601
2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761
1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306
Organizations & group practices 10
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.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
-
- Family Medicine Physician
- Gainesville, GA
- NPI 1891745212
Neurology
-
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1134841802
-
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
- Gynecology Physician
- Greer, SC
- NPI 1003619313
-
- Family Medicine Physician
- Easley, SC
- NPI 1295218642
-
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- York, PA
- NPI 1962980730
Hospital & facility affiliations 40
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Anderson, SC
- NPI 1417919531
-
- Medically Fragile Infants and Children Day Care
- Greenville, SC
- NPI 1093168064
Hospital
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1114473212
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1174079271
-
- Sleep Disorder Diagnostic Clinic/Center
- Greenville, SC
- NPI 1275086431
Hospital
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1326884982
-
- Developmental Disabilities Clinic/Center
- Greenville, SC
- NPI 1336695436
Hospital
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1366998460
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1396207221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773014400000",
"number": "1740518695",
"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": "743 SPRING ST NE",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013715",
"telephone_number": "770-219-9000"
}
],
"practiceLocations": [
{
"address_1": "228 Saint Charles Way Ste 200",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174024661",
"country_code": "US",
"telephone_number": "717-851-5503",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3333 Silas Creek Pkwy",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271033013",
"country_code": "US",
"telephone_number": "336-718-7594",
"fax_number": "336-277-4239",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Patewood Dr Ste B350",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296156337",
"country_code": "US",
"telephone_number": "864-454-4500",
"fax_number": "864-454-4505",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUIZ",
"first_name": "ANDRES",
"middle_name": "CAMILO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-03",
"last_updated": "2026-03-09",
"certification_date": "2026-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084A2900X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurocritical Care",
"state": "NC",
"license": "2025-00249",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PA",
"license": "MD487794",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NC",
"license": "2025-00249",
"primary": false
},
{
"code": "2084A2900X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurocritical Care",
"state": "SC",
"license": "82321",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MO",
"license": "2017008829",
"primary": false
},
{
"code": "2084A2900X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurocritical Care",
"state": "GA",
"license": "92874",
"primary": true
},
{
"code": "2084A2900X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurocritical Care",
"state": "MO",
"license": "2017008829",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1740518695",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.