JOHN MICHAEL RUTLEDGE PA NPI 1003403353

NPI Information

  • NPI: 1003403353
  • Provider Name: JOHN MICHAEL RUTLEDGE, PA
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 990 LOGANVILLE HWY STE 102
    BETHLEHEM, GA
    ZIP 30620
  • Phone: (770) 848-6190

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NPI Details

John Michael Rutledge, PA is a surgical physician assistant in Bethlehem, GA with 5 years of experience. John Michael Rutledge, PA NPI is 1003403353. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:2021

The provider's business location address is:

990 LOGANVILLE HWY STE 102
BETHLEHEM, GA
ZIP 30620-175
Phone: (770) 848-6190

The NPI 1003403353 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)
  • Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement (HCPCS:27236)
  • Treatment of broken neck of thigh bone with bone implant (HCPCS:27245)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)

The enumeration date for this NPI number is 12/21/2020 and was last updated on 8/15/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgicalPA2259MAINENo
2363AS0400XPhysician AssistantSurgical13313GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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