1. Home
  2. Directory
  3. Georgia
  4. Macon
  5. Internal Medicine
  6. NPI Profile

RUTLAND FAMILY HEALTHCARE LLC
NPI 1366487019
Internal Medicine in Macon, GA

Active since June 17, 2006CLIA 11D1040574 · Waiver
5569 HOUSTON RD, MACON, GA 31216(478) 781-5065(478) 781-0012 Get Directions Write a Review

NPPES record last updated: February 9, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 9, 2022, May 12, 2016 (2 updates tracked since 2016).

About Rutland Family Healthcare Llc NPPES

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

RUTLAND FAMILY HEALTHCARE LLC (NPI 1366487019) is a healthcare organization registered as an internal medicine in Macon, Georgia and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through July 29, 2028 and lists Marcus L Simmons, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1366487019
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameRUTLAND FAMILY HEALTHCARE LLC
Location Address5569 HOUSTON RDMacon, GA 31216-5709
Mailing Address5569 Houston RdMacon, GA 31216-5709 · (478) 781-5065 · Fax (478) 781-0012
Phone(478) 781-5065
Fax(478) 781-0012
Organization SubpartNo
Authorized OfficialMarcus L SimmonsMd/owner · (478) 781-5065
Enumeration DateJune 17, 2006
Last NPPES UpdateFebruary 9, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2022
✔ NPI 1366487019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 04996
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.
5569 HOUSTON RD, Macon, GA 31216
Open in Google Maps ↗

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rutland Family Healthcare Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Rutland Family Healthcare LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Tara Dixon, NP
Nurse Practitioner
NPI 1598956120
5569 HOUSTON RD
Macon, GA 31216
(478) 781-5065
✔ PECOSSame address
Kate Durkee, FNP-C
Nurse Practitioner
NPI 1609277664
5569 HOUSTON RD
Macon, GA 31216
(478) 781-5065
✔ PECOS✔ Accepts MedicareSame address
Marcus Simmons, MD
Internal Medicine
NPI 1770511180
5569 HOUSTON RD
Macon, GA 31216
(478) 781-5065
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 11D1040574

Rutland Family Healthcare LLC · Macon, GA
Active · expires Jul 29, 2028
CLIA Number11D1040574
Laboratory TypePhysician Office
Certificate Effective DateJuly 30, 2026
Certificate Expiration DateJuly 29, 2028
Laboratory DirectorMarcus L. Simmons
Laboratory Phone(478) 781-5065
Laboratory LocationRutland Family Healthcare LLC5569 Houston Road, Macon, GA 31216
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 Rutland Family Healthcare LLC's NPI number?

The NPI number for Rutland Family Healthcare LLC is 1366487019. It was assigned to this organization in the NPPES registry on June 17, 2006.

Where is Rutland Family Healthcare LLC located?

Rutland Family Healthcare LLC is located at 5569 Houston Rd, Macon, GA 31216. The listed phone number is (478) 781-5065.

What is Rutland Family Healthcare LLC's specialty?

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

Is Rutland Family Healthcare LLC enrolled in Medicare?

Yes. Rutland Family Healthcare LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rutland Family Healthcare LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Rutland Family Healthcare LLC, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Rutland Family Healthcare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1040574) is associated with this NPI, valid through July 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Rutland Family Healthcare LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Rutland Family Healthcare LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rutland Family Healthcare LLC was last updated on February 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.