Keviene Rutherford, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

83610 Issued in GA

Practice address

12755 Century Dr Unit a
Alpharetta, GA 30009-8377

Phone

(770) 696-2265

NPI assigned

Jul 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Howard University College of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JIEDDD/Endpoint/JIEDDD

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.

• Rutherford Medical Center LLC

  • Internal Medicine Physician
  • Alpharetta, GA
  • NPI 1326759408
  Medicare reassignment NPD Authorized official
• Millennium Medical and Spa Corp

  • Internal Medicine Physician
  • Alpharetta, GA
  • NPI 1528738648
  NPD Authorized official
• Keviene Rutherford MD PA

  • Internal Medicine Physician
  • Boynton Beach, FL
  • NPI 1235283854
  NPD (past) Authorized official
• DHHS, PHS, Naihs, Shiprock Hospital

  • Ambulatory Surgical Clinic/Center
  • Shiprock, NM
  • NPI 1407039589
  NPD (past)
• DHHS, PHS, Naihs, Shiprock Hospital

  • General Acute Care Hospital
  • Teecnospos, AZ
  • NPI 1477615789
  NPD (past)
• DHHS, PHS, Naihs, Shiprock Hospital

  • General Acute Care Hospital
  • Shiprock, NM
  • NPI 1780639971
  NPD (past)

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1902811664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12755 CENTURY DR UNIT A",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300098377",
            "telephone_number": "770-696-2265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12755 CENTURY DR UNIT A",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300098377",
            "telephone_number": "770-696-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTHERFORD",
        "first_name": "KEVIENE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "83610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Ruggles, APC, CRC
• Lauren Runner, DC
• Angelica Russell
• Emily Russell
• Rutherford Medical Center LLC
• Becky L Ryals, LCSW
• Ryan Bozof MD PC
• Maureen F Ryan
• Leah Rydel
• John E Ryoul, LPC

• Internal Medicine Physician in Alpharetta, GA
• Providers in Alpharetta, 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 Jan 6, 2022; 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.

Verify at the official NPI Registry.