Shomari Andre Ruffin, MD - Medicare Orthopedic Surgery in Carrollton, GA

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Shomari Andre Ruffin, MD is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" physician in Carrollton, Georgia. He went to Medical College Of Georgia School Of Medicine and graduated in 2008 and has 17 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Gwinnett Clinic, Ltd and his current practice location is 150 Clinic Ave, Suite 101, Carrollton, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 834-0873.

Shomari Andre Ruffin is licensed to practice in Georgia (license number 72107) 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 1114185840.

Contact Information

Shomari Andre Ruffin, MD
150 Clinic Ave, Suite 101,
Carrollton, GA 30117-4401
(770) 834-0873
(770) 834-6118

Map and Direction




Physician's Profile

Full NameShomari Andre Ruffin
GenderMale
SpecialityOrthopedic Surgery
Experience17 Years
Location150 Clinic Ave, Carrollton, 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:
  • Shomari Andre Ruffin attended and graduated from Medical College Of Georgia School Of Medicine in 2008
  NPI Data:
  • NPI Number: 1114185840
  • Provider Enumeration Date: 05/29/2008
  • Last Update Date: 10/30/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 0648413922
  • Enrollment ID: I20140729000721

Medical Identifiers

Medical identifiers for Shomari Andre Ruffin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114185840NPI-NPPES
REF000630555MedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207XX0005XOrthopaedic Surgery - Sports Medicine 72107 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Gwinnett Clinic, Ltd943606180134

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. Shomari Andre Ruffin allows following entities to bill medicare on his behalf.
Entity NameGwinnett Clinic, Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629117650
PECOS PAC ID: 9436061801
Enrollment ID: O20031104000266
Entity NameCarrollton Orthopaedic Clinic Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356483747
PECOS PAC ID: 7810989183
Enrollment ID: O20040330001027
Entity NamePerformance Orthopaedics & Sports Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831670322
PECOS PAC ID: 6507107323
Enrollment ID: O20190404001349

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. Shomari Andre Ruffin 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
Shomari Andre Ruffin, MD
150 Clinic Ave, Suite 101,
Carrollton, GA 30117-4401

Ph: (770) 834-0873		Shomari Andre Ruffin, MD
150 Clinic Ave, Suite 101,
Carrollton, GA 30117-4401

Ph: (770) 834-0873

Reviews and Comments


Orthopaedic Surgery Doctors in Carrollton, GA

Dr. Jubal R Watts, M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 150 Clinic Ave, Ste 101, Carrollton, GA 30117
Phone: 770-834-0873    Fax: 770-834-6118
Dr. Robert O'connell, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 150 Clinic Ave Ste 101, Carrollton, GA 30117
Phone: 770-834-0873    Fax: 770-834-6118
Melanie Jordan,
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 150 Clinic Ave, Suite 101, Carrollton, GA 30117
Phone: 678-601-5220    
Dr. Gregory S Slappey, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 150 Clinic Ave, Suite 101, Carrollton, GA 30117
Phone: 770-834-0873    
Daniel Lee Maxwell,
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 150 Clinic Ave Ste 101, Carrollton, GA 30117
Phone: 770-834-0873    Fax: 770-834-6118
Dr. Taylor Brandon Cates, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 150 Clinic Ave, Suite 101, Carrollton, GA 30117
Phone: 770-834-0873    Fax: 770-834-6118

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.