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JUDITH RUTH MEDICAL CENTER LLC
NPI 1144912270
Nurse Practitioner - Family in Lithia Springs, GA

Active since May 25, 2023CLIA 11D2283287 · Waiver
10494 VETERANS MEMORIAL HWY STE 5, LITHIA SPRINGS, GA 30122(404) 793-3806(770) 502-6715 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 25, 2025, May 25, 2023 (2 updates tracked since 2023).

About Judith Ruth Medical Center Llc NPPES

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

JUDITH RUTH MEDICAL CENTER LLC (NPI 1144912270) is a healthcare organization registered as a family in Lithia Springs, Georgia and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through June 5, 2027 and lists Natalie Mccall-gaston, Ceo/founder, as its authorized official.

NPPES Registry Identity

NPI1144912270
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameJUDITH RUTH MEDICAL CENTER LLC
Location Address10494 VETERANS MEMORIAL HWY STE 5Lithia Springs, GA 30122-2061
Mailing Address10494 Veterans Memorial Hwy Ste 5Lithia Springs, GA 30122-2061 · (404) 793-3806 · Fax (770) 502-6715
Phone(404) 793-3806
Fax(770) 502-6715
Organization SubpartNo
Authorized OfficialNatalie Mccall-gastonCeo/founder · (404) 793-3806
Enumeration DateMay 25, 2023
Last NPPES UpdateMarch 25, 20252 updates tracked since enumeration
NPPES CertifiedMarch 25, 2025
✔ NPI 1144912270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
10494 VETERANS MEMORIAL HWY STE 5, Lithia Springs, GA 30122
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Other Names 1

Other NameJudith Ruth Medical Center Llc

Other Identifiers 1

Medicaid003137957DGA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2283287

Judith Ruth Medical Center, LLC · Lithia Springs, GA
Active · expires Jun 5, 2027
CLIA Number11D2283287
Laboratory TypePhysician Office
Certificate Effective DateJune 6, 2025
Certificate Expiration DateJune 5, 2027
Laboratory DirectorNatalie Y. Mccall-Gaston
Laboratory Phone(404) 793-3806
Laboratory LocationJudith Ruth Medical Center, LLC10494 Veterans Memorial Highway, Suite 5, Lithia Springs, GA 30122
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Judith Ruth Medical Center LLC's NPI number?

The NPI number for Judith Ruth Medical Center LLC is 1144912270. It was assigned to this organization in the NPPES registry on May 25, 2023.

Where is Judith Ruth Medical Center LLC located?

Judith Ruth Medical Center LLC is located at 10494 Veterans Memorial Hwy Ste 5, Lithia Springs, GA 30122. The listed phone number is (404) 793-3806.

What is Judith Ruth Medical Center LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Judith Ruth Medical Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2283287) is associated with this NPI, valid through June 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Judith Ruth Medical Center LLC was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.