MRS. RUTUBULA PETTAWAY LCSW
NPI 1588290670
Social Worker - Clinical in Atlanta, GA
About Mrs. Rutubula Pettaway Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. RUTUBULA PETTAWAY LCSW (NPI 1588290670) is an individual clinical provider in Atlanta, Georgia, licensed in Georgia (CSW006936) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Florida State University College Of Medicine (2014).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Mrs. Rutubula Pettaway Lcsw 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30315 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ATLANTA, GA 30315
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 Rutubula Pettaway's NPI number?
The NPI number for Rutubula Pettaway is 1588290670. It was assigned to this individual provider in the NPPES registry on March 20, 2020.
Where is Rutubula Pettaway located?
Rutubula Pettaway practices at 1046 Ridge Ave SW, Atlanta, GA 30315. The listed phone number is (404) 564-6942.
What is Rutubula Pettaway's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Rutubula Pettaway enrolled in Medicare?
Yes. Rutubula Pettaway 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.
What insurance does Rutubula Pettaway accept?
Health plans from UnitedHealthcare list Rutubula Pettaway 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 Rutubula Pettaway was last updated on March 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mrs. Rutubula Pettaway, LCSW · NPI 1588290670
Clinical provider in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since March 20, 2020.
## Identity
- **NPI:** 1588290670 (Entity type: Individual)
- **Enumerated:** March 20, 2020
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** CSW006936 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1046 RIDGE AVE SW, Atlanta, GA 30315-1640
- **Phone:** (404) 564-6942
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Florida State University College Of Medicine, class of 2014
## Record status
- **NPPES last updated:** March 20, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1588290670) · Data from the CMS NPPES public registry.