David Samuel Rudolph, DO - Medicare Gastroenterology in Newnan, GA

David Samuel Rudolph, DO is a medicare enrolled "Internal Medicine" physician in Newnan, Georgia. He went to Philadelphia College Of Osteopathic Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Digestive Healthcare Of Georgia and his current practice location is 354 Newnan Crossing Byp, Suite 205, Newnan, Georgia. You can reach out to his office (for appointments etc.) via phone at (678) 326-4812.

David Samuel Rudolph is licensed to practice in Pennsylvania (license number OS014560) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1881836013.

Contact Information

David Samuel Rudolph, DO
354 Newnan Crossing Byp, Suite 205,
Newnan, GA 30265-2323
(678) 326-4812
Not Available

Map and Direction




Physician's Profile

Full NameDavid Samuel Rudolph
GenderMale
SpecialityGastroenterology
Experience18 Years
Location354 Newnan Crossing Byp, Newnan, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • David Samuel Rudolph attended and graduated from Philadelphia College Of Osteopathic Medicine in 2006
  NPI Data:
  • NPI Number: 1881836013
  • Provider Enumeration Date: 04/02/2009
  • Last Update Date: 10/13/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 6507917622
  • Enrollment ID: I20131107000562

Medical Identifiers

Medical identifiers for David Samuel Rudolph such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881836013NPI-NPPES
OS14560OtherPA MEDICAL LICENSE #
1922077643OtherPAMLHC GROUP NPI #
440771OtherPAMLHC MEDICARE AA#
824305OtherPABS AA#
037276OtherPAMLHC GROUP AA #

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine OS014560 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Piedmont Fayette HospitalFayetteville, GAHospital
Piedmont Newnan Hospital, IncNewnan, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Digestive Healthcare Of Georgia701290439429

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. David Samuel Rudolph allows following entities to bill medicare on his behalf.
Entity NameDigestive Healthcare Of Georgia
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558365247
PECOS PAC ID: 7012904394
Enrollment ID: O20040429000495

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. David Samuel Rudolph is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
David Samuel Rudolph, DO
95 Collier Rd Nw, Suite 4075,
Atlanta, GA 30309-1796

Ph: (404) 355-3200
David Samuel Rudolph, DO
354 Newnan Crossing Byp, Suite 205,
Newnan, GA 30265-2323

Ph: (678) 326-4812

Reviews and Comments


Internal Medicine Doctors in Newnan, GA

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Dr. Samer Bedi Blackmon, MD
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Practice Location: 1825 Highway 34 E, St. 3000, Newnan, GA 30265
Phone: 770-252-6767    Fax: 404-564-5902
Gargi Schneider, M.D.
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Practice Location: 745 Poplar Rd, Newnan, GA 30265
Phone: 404-367-3014    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.