JADA EA MOORE-RUFFIN MD
NPI 1447232103
Family Medicine in Lithonia, GA

Q: What is Jada Moore-ruffin's NPI number?

The NPI number for Jada Moore-ruffin is 1447232103. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Q: What is Jada Moore-ruffin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jada Moore-ruffin was last updated on May 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since November 17, 2005PECOS Enrolled

5900 HILLANDALE DR, SUITE 215, LITHONIA, GA 30058(770) 322-9660(770) 322-1981 Get Directions Write a Review

NPPES record last updated: May 18, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Jada Ea Moore-ruffin Md NPPES

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

JADA EA MOORE-RUFFIN MD (NPI 1447232103) is an individual family medicine provider in Lithonia, Georgia, licensed in Ohio (35073421) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and is a graduate of Meharry Medical College School Of Medicine (1996).

NPPES Registry Identity

NPI1447232103

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameJADA EA MOORE-RUFFINCredential: MD

Location Address5900 HILLANDALE DR, SUITE 215Lithonia, GA 30058-3802

Mailing Address5900 Hillandale Dr, Suite 215Lithonia, GA 30058-3802 · (770) 322-9660 · Fax (770) 322-1981

Phone(770) 322-9660

Fax(770) 322-1981

Sole ProprietorNo

Medical School CMSMeharry Medical College School Of MedicineGraduated 1996

Enumeration DateNovember 17, 2005

Last NPPES UpdateMay 18, 2015

✔ NPI 1447232103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OH · 35073421

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5900 HILLANDALE DR, Lithonia, GA 30058

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jada Ea Moore-ruffin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981706520

PECOS Enrollment IDI20260508003894

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.

Medicare Billing Reassignment

Medicare enrollment records show Jada Moore-ruffin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Real Wellness Enterprises LLC

20 mi

Family Medicine

755 MOUNT VERNON HWY NE STE 540
Atlanta, GA 30328

Reassigned Medicare billing, Georgia enrollment

NPI 1629930938 (404) 464-8749

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30058 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

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

THE ROSS ORTHOPAEDIC WELLNESS CENTER

Orthopaedic Surgery

5900 HILLANDALE DR, SUITE 215
LITHONIA, GA 30058

Dekalb County (678) 405-3252

DR. CLARICE MARIJETTA BELL M.D.

Family Medicine

5900 HILLANDALE DR, SUITE 215
LITHONIA, GA 30058

Dekalb County (770) 322-9660

DR. LAWRENCE F BRACK III M.D.

Ophthalmology

5900 HILLANDALE DR, SUITE 345
LITHONIA, GA 30058

Dekalb County (770) 987-0733

MRS. PENELOPE MARSHALL MCCOWN NP-C

Nurse Practitioner (Family)

5900 HILLANDALE DR, SUITE 215
LITHONIA, GA 30058

Dekalb County (770) 322-9660

RAY L HOWELL MD,MBA,FACOG,FICS

Obstetrics & Gynecology (Gynecology)

5900 HILLANDALE DR, SUITE 255
LITHONIA, GA 30058

Dekalb County (770) 593-8866

HILLANDALE PRIMARY CARE

Family Medicine

5900 HILLANDALE DR, SUITE 215
LITHONIA, GA 30058

Dekalb County (770) 322-9660

AILEEN ROBINSON NP

Nurse Practitioner

5900 HILLANDALE DR, ANNEX E
LITHONIA, GA 30058

Dekalb County (404) 446-3870

GEORGIA INTERNAL MEDICINE CARE ASSOCIATES

Internal Medicine

5900 HILLANDALE DR, SUITE 230
LITHONIA, GA 30058

Dekalb County (478) 475-1299

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 Jada Moore-ruffin's NPI number?

The NPI number for Jada Moore-ruffin is 1447232103. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Where is Jada Moore-ruffin located?

Jada Moore-ruffin practices at 5900 Hillandale Dr Suite 215, Lithonia, GA 30058. The listed phone number is (770) 322-9660.

What is Jada Moore-ruffin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jada Moore-ruffin enrolled in Medicare?

Yes. Jada Moore-ruffin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jada Moore-ruffin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jada Moore-ruffin reassigns Medicare benefits to Real Wellness Enterprises LLC (Atlanta, GA). The 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 Jada Moore-ruffin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jada Moore-ruffin was last updated on May 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.