JOHN MICHAEL RUTLEDGE PA
NPI 1003403353
Physician Assistant - Surgical in Bethlehem, GA

Active since December 21, 2020PECOS EnrolledAccepts Medicare Assignment
990 LOGANVILLE HWY STE 102, BETHLEHEM, GA 30620(770) 848-6190 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 15, 2025, Nov 8, 2021, Nov 1, 2021 and 2 more (5 updates tracked since 2020).

About John Michael Rutledge Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN MICHAEL RUTLEDGE PA (NPI 1003403353) is an individual surgical provider in Bethlehem, Georgia, licensed in Georgia (13313) and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and is a graduate of Philadelphia College Of Osteopathic Medicine (2021).

NPPES Registry Identity

NPI1003403353
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameJOHN MICHAEL RUTLEDGECredential: PA
Location Address990 LOGANVILLE HWY STE 102Bethlehem, GA 30620-2175
Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2021
Enumeration DateDecember 21, 2020
Last NPPES UpdateAugust 15, 20255 updates tracked since enumeration
NPPES CertifiedAugust 15, 2025
NPI 1003403353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses Licensed in GA · 13313 Licensed in ME · PA2259
990 LOGANVILLE HWY STE 102, Bethlehem, GA 30620

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

John Michael Rutledge Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092112581
PECOS Enrollment IDI20250828004216
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

Ngmc Barrow, LLC

Acute Care Hospitals · Winder, GA
OwnershipProprietary
CMS Certification Number110045
Location316 North Broad StreetWinder, GA 30680 · Barrow County
Emergency services

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers11 claims11 services$24.52 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
990 LOGANVILLE HWY STE 102
BETHLEHEM, GA 30620

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Rutledge's NPI number?

The NPI number for John Rutledge is 1003403353. It was assigned to this individual provider in the NPPES registry on December 21, 2020.

Where is John Rutledge located?

John Rutledge practices at 990 Loganville Hwy Ste 102, Bethlehem, GA 30620. The listed phone number is (770) 848-6190.

What is John Rutledge's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is John Rutledge enrolled in Medicare?

Yes. John Rutledge is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is John Rutledge affiliated with any hospitals?

According to CMS data, John Rutledge is affiliated with Northeast Georgia Medical Center, Inc and Ngmc Barrow, LLC.

When was this NPI record last updated?

The NPPES record for John Rutledge was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.