SHOMARI ANDRE RUFFIN


Address: 150 Clinic Ave, Suite 101, Carrollton, GA 30117-4401
Phone: 7708340873

SHOMARI ANDRE RUFFIN (NPI# 1114185840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114185840
Entity Type Individual
Full Name SHOMARI ANDRE RUFFIN
Credential M.D.
Practice Address 150 Clinic Ave
Suite 101
Carrollton
GA 30117-4401
Practice Telephone 7708340873
Practice Fax Number 7708346118
Mailing Telephone 7708340873
Mailing Fax Number 7708346118
Enumeration Date 2008-05-29
Last Update Date 2014-10-30
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
72107 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA REF000630555 05

Office Location

Street Address 150 CLINIC AVE
SUITE 101
City CARROLLTON
State GA
Zip Code 30117-4401

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851394837 Ki-hon Lin Orthopaedic Surgery 150 Clinic Ave, Ste 101, Carrollton, GA 30117-4401 2005-05-24
1518413475 Nicollette Mckinnon Nurse Practitioner 150 Clinic Ave, Suite 201, Carrollton, GA 30117-4401 2016-08-31
1265812531 Emily M James Audiologist 150 Clinic Ave, Suite 201, Carrollton, GA 30117 2015-06-02
1275929184 Wguas, LLC Urology 150 Clinic Ave, Suite 202, Carrollton, GA 30117-4401 2015-04-08
1083011704 Melanie Jordan Orthopaedic Surgery 150 Clinic Ave, Suite 101, Carrollton, GA 30117-4401 2014-11-24
1235477571 Jason Allen Peal Specialist/Technologist, Other 150 Clinic Ave, 101, Carrollton, GA 30117-4401 2013-01-22
1205158383 David Allen Scruggs Physician Assistant 150 Clinic Ave, Suite 101, Carrollton, GA 30117-4401 2010-02-17
1427216449 Taylor Brandon Cates Orthopaedic Surgery 150 Clinic Ave, Suite 101, Carrollton, GA 30117-4401 2008-05-27
1598922106 Felicia G Thomas Audiologist 150 Clinic Ave, Suite 201, Carrollton, GA 30117-4401 2008-05-21
1760649370 Jill S Jarrell Audiologist 150 Clinic Ave, Suite 201, Carrollton, GA 30117-4401 2008-05-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679199392 Southern Rad Onc LLC Radiology 809 South Park Street, Carrollton, GA 30117 2020-06-18
1093361404 Eyedeal Eyecare LLC Optometrist 1735 S Us 27, Carrollton, GA 30117 2019-08-12
1710412473 Janis James Optometrist 1735 S, Us-27, Walmart Vision Center, Carrollton, GA 30117 2017-05-01
1568881951 Omar Hajmurad Anesthesiology 812 S Park St Ste 5, Carrollton, GA 30117 2014-04-14
1134550353 Goodbodys Minor Med Express Care Nurse Practitioner 1670 South Park St., Carrollton, GA 30117 2013-12-13
1306187570 Myriam C Vela-ortiz Internal Medicine 157 Clinic Ave Ste 203, Carrollton, GA 30117 2013-03-12
1891030201 Air Evac Ems, Inc. Ambulance 827 Old Bremen Rd, Carrollton, GA 30117 2012-12-11
1952682486 Angelic Wings Transport, Inc. Non-emergency Medical Transport (VAN) 362 B Columbia Drive, Carrollton, GA 30117 2011-08-29
1073819256 Atlanta Prosthetics & Orthotics, Inc. Durable Medical Equipment & Medical Supplies 812 South Park Street, Suite 2, Carrollton, GA 30117 2011-02-04
1255640348 Amy Gilbert Counselor 515 Tanner St, Carrollton, GA 30117 2010-10-06
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Taxonomy Information

Taxonomy Code 207XX0005X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Sports Medicine

Taxonomy Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699898437 Kevin Michael Charron Orthopaedic Surgery 150 Clinic Ave, Ste 101, Carrollton, GA 30117-4401 2007-04-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1326679671 Barbour Orthopaedics & Sports Medicine PC Orthopaedic Surgery 965 Oakland Rd Ste C, Lawrenceville, GA 30044-3758 2020-01-27
1932730298 Barbour Orthopaedics & Sports Medicine PC Orthopaedic Surgery 1100 Northside Forsyth Dr Ste 360, Cumming, GA 30041-6022 2020-01-27
1275094310 Mariolino Da Graca Fernandes Orthopaedic Surgery 3240 Northeast Expy Ne, Atlanta, GA 30341-4003 2019-03-29
1437601598 Optim Orthopedics LLC Orthopaedic Surgery 460 Mall Blvd Ste B, Savannah, GA 31406-4801 2016-10-25
1750753182 Zachary Russell Orthopaedic Surgery 1305 Jennings Mill Road, Building 300, Suite 110, Watkinsville, GA 30677 2015-10-26
1396121315 2 Bare Bones Medical LLC Orthopaedic Surgery 11102 Abercorn St, Savannah, GA 31419-1822 2015-07-31
1578985180 Brandon Dobo Orthopaedic Surgery 410 Brookhaven Way Ne, Atlanta, GA 30319-3177 2014-01-16
1306102785 Elan J Golan Orthopaedic Surgery 1800 Tree Ln Ste 140, Snellville, GA 30078-6799 2012-04-10
1235405747 Pinnacle Orthopaedics & Sports Medicine Specia Orthopaedic Surgery 1000 Chastain Road, Building II, Kennesaw, GA 30144-0000 2012-03-29
1346413648 Mathew William Pombo Orthopaedic Surgery 3855 Pleasant Hill Rd Ste 470, Duluth, GA 30096-1417 2008-04-08
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Competitor

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City CARROLLTON
Zip Code 30117

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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