ROBERT RANDALL RUSHER MD NPI 1578767596

NPI Information

NPI: 1578767596
Provider Name: ROBERT RANDALL RUSHER, MD
Classification: Internal Medicine - 207RP1001X
Specialization: Pulmonary Disease
Entity Type: Individual
PECOS Registration: Yes
Address: 3650 STEVE REYNOLDS BLVD.
KAISER PERMANENTE GWINNETT MEDICAL CENTER
DULUTH, GA
ZIP 30096
Phone: (803) 799-5022

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NPI Details

Robert Randall Rusher, MD is a pulmonary disease internal medicine in Duluth, GA with 21 years of experience. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. Robert Randall Rusher, MD NPI is 1578767596. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: BOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2004

The provider's business location address is:

3650 STEVE REYNOLDS BLVD.
KAISER PERMANENTE GWINNETT MEDICAL CENTER
DULUTH, GA
ZIP 30096
Phone: (803) 799-5022
Fax: (803) 799-5890

The NPI 1578767596 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 enumeration date for this NPI number is 6/13/2007 and was last updated on 4/13/2022.

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
1	207R00000X	Internal Medicine		34083	SOUTH CAROLINA	No
2	207RC0200X	Internal Medicine	Critical Care Medicine	34083	SOUTH CAROLINA	No
3	207RC0200X	Internal Medicine	Critical Care Medicine	22267	MARYLAND	No
4	207RP1001X	Internal Medicine	Pulmonary Disease	34083	SOUTH CAROLINA	No
5	207RP1001X	Internal Medicine	Pulmonary Disease	22267	MARYLAND	No
6	207RP1001X	Internal Medicine	Pulmonary Disease	066315	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	AA76842603	OTHER	SOUTH CAROLINA	MEDICARE PTAN
2	340839	MEDICAID	SOUTH CAROLINA

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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