Active NPI
Ruffina David
- Professional Counselor
- Dallas, GA
National Provider Identifier
1962935890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC010771
- Practice address
- 702 W Memorial Dr
Dallas, GA 30132-4122 - Phone
- (470) 708-5836
- NPI assigned
- Apr 7, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC010771 | GA | Primary |
Addresses
Primary practice location
702 W Memorial Dr
Dallas, GA 30132-4122
Mailing address
702 W Memorial Dr
Dallas, GA 30132-4122
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
702 W Memorial Dr
Dallas, GA 30132-4122
Phone (678) 332-7955
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC010771 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Northrop Connection, LLC | Current | Accepting new patients |
Locations
702 W Memorial Dr
Dallas, GA 30132
Phone (678) 332-7955
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Dallas, GA
- NPI 1912398868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762560000000",
"number": "1962935890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 W MEMORIAL DR",
"city": "DALLAS",
"state": "GA",
"postal_code": "301324122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 W MEMORIAL DR",
"city": "DALLAS",
"state": "GA",
"postal_code": "301324122",
"telephone_number": "470-708-5836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVID",
"first_name": "RUFFINA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-07",
"last_updated": "2025-11-08",
"certification_date": "2025-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC010771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, GA
- Dallas Family Counseling Center
- Dallas Family Practice Center PA
- Dallas Prescription Shop, LLC
- Dallas Prescription Shop, LLC
- Tametrius N Daniels
- Dawnflowers Personal Homecare
- Kelly Elizabeth Decker, CSFA
- Emily Delay, OTR/L
- Edgardo Jose Delgado Cordova, PHARMD
- Deliverance Health Limited Liability Company
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2025; 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.