Mrs Miranda Rutland, NP - Medicare Nurse Practitioner in Carrollton, GA

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Mrs Miranda Rutland, NP is a medicare enrolled "Nurse Practitioner" in Carrollton, Georgia. Her current practice location is 210 Executive Dr., Carrollton, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 833-1444.

Mrs Miranda Rutland is licensed to practice in Georgia (license number RN288428) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1881330827.

Contact Information

Mrs Miranda Rutland, NP
210 Executive Dr.,
Carrollton, GA 30117-3011
(678) 833-1444
Not Available

Map and Direction




Provider's Profile

Full NameMrs Miranda Rutland
GenderFemale
SpecialityNurse Practitioner
Location210 Executive Dr., Carrollton, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1881330827
  • Provider Enumeration Date: 05/11/2022
  • Last Update Date: 12/19/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0345610572
  • Enrollment ID: I20230105000417

Medical Identifiers

Medical identifiers for Mrs Miranda Rutland such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881330827NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WC0200XRegistered Nurse - Critical Care Medicine RN288428 (Georgia)Secondary
363L00000XNurse Practitioner RN288428 (Georgia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Miranda Rutland allows following entities to bill medicare on her behalf.
Entity NamePiedmont Providers Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548273592
PECOS PAC ID: 9830082825
Enrollment ID: O20040204000321
Entity NameTruffles Vein Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760733448
PECOS PAC ID: 1355594797
Enrollment ID: O20130114000391
Entity NamePiedmont Specialty Hospital Billing Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699290510
PECOS PAC ID: 4183986490
Enrollment ID: O20180327001180

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Miranda Rutland is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Miranda Rutland, NP
210 Executive Dr.,
Carrollton, GA 30117

Ph: () -		Mrs Miranda Rutland, NP
210 Executive Dr.,
Carrollton, GA 30117-3011

Ph: (678) 833-1444

Reviews and Comments


Nurse Practitioner Nurses in Carrollton, GA

Sheila Reece Walls,
Nurse Practitioner
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Practice Location: 4248 Mount Zion Rd, Carrollton, GA 30117
Phone: 770-836-0103    Fax: 770-834-8828
Latoya Pulliam Bexley, N.P.
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 410 Dixie St, Carrollton, GA 30117
Phone: 678-796-0681    Fax: 770-836-8477
Emilia Grace Janney, NP
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Medicare: Medicare Enrolled
Practice Location: 527 Tanner St, Carrollton, GA 30117
Phone: 770-537-1234    Fax: 770-537-1237
Mr. Matthew Henderson, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 150 Clinic Ave Ste 101, Carrollton, GA 30117
Phone: 770-834-0873    
Ronda S Phillips, NP
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Medicare: Accepting Medicare Assignments
Practice Location: 705 Dixie St, Suite 401, Carrollton, GA 30117
Phone: 770-838-8824    Fax: 770-838-8922
Alyssa Dianne Paul, AGNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 129 Bankhead Hwy, Carrollton, GA 30117
Phone: 770-838-8440    
Amy Hicks,
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Medicare: Not Enrolled in Medicare
Practice Location: 104 Rome St, Carrollton, GA 30117
Phone: 404-301-4042    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.