| Rutland Family Healthcare Llc | |
|
5569 Houston Rd Macon GA 31216-5709 | |
| (478) 781-5065 | |
| (478) 781-0012 |
| Full Name | Rutland Family Healthcare Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5569 Houston Rd, Macon, Georgia |
| Authorized Official Name and Position | Marcus L Simmons (MD/OWNER) |
| Authorized Official Contact | 4787815065 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rutland Family Healthcare Llc 5569 Houston Rd Macon GA 31216-5709 Ph: (478) 781-5065 | Rutland Family Healthcare Llc 5569 Houston Rd Macon GA 31216-5709 Ph: (478) 781-5065 |
| NPI Number | 1366487019 |
|---|---|
| Provider Enumeration Date | 06/17/2006 |
| Last Update Date | 02/09/2022 |
| Medicare PECOS PAC ID | 0244286151 |
|---|---|
| Medicare Enrollment ID | O20050323001345 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366487019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 04996 (Georgia) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | Marcus L Simmons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770511180 PECOS PAC ID: 5496730566 Enrollment ID: I20040622001399 |
| Provider Name | Tara J Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598956120 PECOS PAC ID: 2466530332 Enrollment ID: I20080417000067 |
| Provider Name | Kate M Durkee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609277664 PECOS PAC ID: 6507150596 Enrollment ID: I20160815001320 |
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Grace Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 Charter Blvd, Suite 304, Macon, GA 31210 Phone: 478-405-0280 | |
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Ketamine Centers Of Central Georgia Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3312 Northside Dr Ste D235, Macon, GA 31210 Phone: 478-201-9220 Fax: 478-203-9322 | |
Family Care Of Middle Georgia Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3203 Vineville Ave, Macon, GA 31204 Phone: 478-471-0273 Fax: 478-471-1471 |