RUTHERFORD MEDICAL CENTER LLC
NPI 1326759408
Internal Medicine in Alpharetta, GA

Active since December 08, 2022CLIA 11D2334822 · Waiver
12755 CENTURY DR UNIT A, ALPHARETTA, GA 30009(770) 696-2265(770) 696-2156 Get Directions Write a Review

NPPES record last updated: December 8, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Rutherford Medical Center Llc NPPES

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

RUTHERFORD MEDICAL CENTER LLC (NPI 1326759408) is a healthcare organization registered as an internal medicine in Alpharetta, Georgia and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through December 1, 2027 and lists Keviene Rutherford, Manager, as its authorized official.

NPPES Registry Identity

NPI1326759408
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameRUTHERFORD MEDICAL CENTER LLC
Location Address12755 CENTURY DR UNIT AAlpharetta, GA 30009-8377
Mailing Address12755 Century Dr Unit AAlpharetta, GA 30009-8377 · (770) 696-2265 · Fax (770) 696-2156
Fax(770) 696-2156
Organization SubpartNo
Authorized OfficialKeviene RutherfordManager · (954) 483-1436
Enumeration DateDecember 8, 2022
NPPES CertifiedDecember 8, 2022
NPI 1326759408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
12755 CENTURY DR UNIT A, Alpharetta, GA 30009

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 11D2334822

Rutherford Medical Center, LLC · Alpharetta, GA
Active · expires Dec 1, 2027
CLIA Number11D2334822
Laboratory TypeCommunity Clinic
Certificate Effective DateDecember 2, 2025
Certificate Expiration DateDecember 1, 2027
Laboratory DirectorKeviene Rutherford
Laboratory Phone(770) 696-2265
Laboratory LocationRutherford Medical Center, LLC12755 Century Drive, Unit A, Alpharetta, GA 30009
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Internal Medicine
12755 CENTURY DR UNIT A
ALPHARETTA, GA 30009
Internal Medicine
12755 CENTURY DR UNIT A
ALPHARETTA, GA 30009
Internal Medicine
12755 CENTURY DR UNIT A
ALPHARETTA, GA 30009

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 Rutherford Medical Center LLC's NPI number?

The NPI number for Rutherford Medical Center LLC is 1326759408. It was assigned to this organization in the NPPES registry on December 8, 2022.

Where is Rutherford Medical Center LLC located?

Rutherford Medical Center LLC is located at 12755 Century Dr Unit A, Alpharetta, GA 30009. The listed phone number is (770) 696-2265.

What is Rutherford Medical Center LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Rutherford Medical Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2334822) is associated with this NPI, valid through December 1, 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 Rutherford Medical Center LLC was last updated on December 8, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS; the most recent full sync was completed on July 26, 2026. Anyone can also request an on-demand re-check of this record against the live CMS registry, directly from this page.