Active NPI
Ruth P Clemens, MD
- Gynecology Physician
- Alpharetta, GA
National Provider Identifier
1851366322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 32160
- Practice address
- 3400 Old Milton Pkwy
Suite 360-C
Alpharetta, GA 30005-3707 - Phone
- (770) 442-1200
- Fax
- (770) 442-0100
- NPI assigned
- Feb 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 32160 | GA | Primary |
Addresses
Primary practice location
3400 Old Milton Pkwy
Suite 360-C
Alpharetta, GA 30005-3707
Mailing address
3400 Old Milton Pkwy
Suite 360-C
Alpharetta, GA 30005-3707
Phone (770) 442-1200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 1, 2018 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32160 | GA | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851366322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 OLD MILTON PKWY",
"address_2": "SUITE 360-C",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300053707",
"telephone_number": "770-442-1200",
"fax_number": "770-442-0100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 OLD MILTON PKWY",
"address_2": "SUITE 360-C",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300053707",
"telephone_number": "770-442-1200",
"fax_number": "770-442-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMENS",
"first_name": "RUTH",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "GA",
"license": "32160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.