Individual provider Active NPI

Gregory Rusiecki, DO

  • Family Medicine Physician
  • Rome, GA
National Provider Identifier
1982229175
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
97133 Issued in GA
Practice address
123 Three Rivers Dr NE
Rome, GA 30161-2300
Phone
(706) 295-3961
NPI assigned
Jun 12, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 97133 GA Primary
Student in an Organized Health Care Education/Training Program 390200000X 12024 GA

Addresses

Primary practice location

123 Three Rivers Dr NE
Rome, GA 30161-2300

Mailing address

304 Turner McCall Blvd SW
Rome, GA 30165-5621

Other practice location 1

304 Turner McCall Blvd SW
Rome, GA 30165-5621
Phone (706) 509-5000

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231005001501 GA Practitioner - Family Practice 0840613303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Floyd Healthcare Management IncGroup PAC ID 5193633386, 133 clinicians

Practice addresses (Care Compare)

123 Three Rivers Nedr
Rome, GA 30161-2300
Phone (706) 295-3961

Hospital & facility affiliations

  • Adoration Home Health Home health agency, Rome, GA, CCN 117010
  • Coosa Valley Home Health, an Amedisys Home health agency, Rome, GA, CCN 117041
  • Atrium Health Floyd Medical Center Hospital, Rome, GA, CCN 110054

Merit-based Incentive Payment System (MIPS)

Final score
98.9 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Floyd Healthcare Management Inc CurrentSince Nov 1, 2023 Accepting new patients
Floyd Healthcare Management Inc Family Medicine CurrentSince Nov 1, 2023 Accepting new patients

Locations

1025 N Main St
Cedartown, GA 30125
Phone (770) 748-5212

304 Shorter Ave NW
Ste 201
Rome, GA 30165
Phone (706) 509-3300

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

123 Three Rivers Dr NE
Rome, GA 30161
Phone (706) 295-3961

420 E 2nd Ave
Ste 103
Rome, GA 30161
Phone (706) 509-3278

Interoperability endpoints

  • Direct secure messaging: grusiecki913370@carolinashealthcaresystem.direct-ci.com

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1982229175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 TURNER MCCALL BLVD SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301655621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 THREE RIVERS DR NE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301612300",
            "telephone_number": "706-295-3961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 Turner McCall Blvd SW",
            "address_purpose": "LOCATION",
            "city": "Rome",
            "state": "GA",
            "postal_code": "301655621",
            "country_code": "US",
            "telephone_number": "706-509-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSIECKI",
        "first_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-12",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "97133",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "GA",
            "license": "12024",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

Verify at the official NPI Registry.