NPI age
5 years
Enumerated 2020-12-21
● Active
Type 1 · Individual
John Michael Rutledge, PA
Rutledge is 1 of 3 surgical (physician assistant) providers in Bethlehem and 1 of 637 in Georgia.
Primary specialty
Surgical (Physician Assistant)
Plus 1 subspecialty
Licensed in
GA, ME
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-08-15
Source: CMS NPPES provider record
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 637 active surgical (physician assistant) providers in Georgia.
NPI age
5 years
↓ 8 yr below median (13 yr)
State licenses
2 states
Top 79% — 20% of peers are multi-state
Subspecialties
0
37% of peers hold subspecialties
NPI lifetime · 2020 → 2025
2020-12Enumerated in NPPES
2020
2025
Where they practice
Practice location
990 Loganville Hwy Ste 102
Bethlehem, GA 306202175
Mailing address
Po Box 742616
Atlanta, GA 303742616
Additional practice locations
1 secondary location on file with NPPES.
Location 2
417 State Street, Webber West Suite 340
Bangor, ME 04401
Specialties
-
Physician Assistant PrimaryCMS NPPES uses NUCC taxonomy code 363AS0400X for provider records classified as Surgical within Physician Assistant. The taxonomy identifies the category reported on the NPI record; it does not by itself verify services offered, current...
Medicare directory context
Medicare specialties
Physician Assistant
Medical school
Philadelphia College Of Osteopathic Medicine
Graduation year 2021
Largest Medicare group
884 members
Largest listed enrollment group
Facility affiliations reported by CMS
- Northeast Georgia Physicians Group Inc
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.