P Praxis·MD
● Active Type 1 · Individual

DR. Cheryl Ann Rutherford-Ngoto

Specialist·Stone Mountain, GA· NPI 1033422605 · Enumerated 2010 · 15 years on NPI
Rutherford-Ngoto is 1 of 4 specialist providers in Stone Mountain and 1 of 1881 in Georgia.
NPI age
15 years
Enumerated 2010-07-23
Primary specialty
Specialist
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-12-17
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1881 active specialist providers in Georgia.

NPI age
15 years
↓ 4 yr below median (19 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
1
In the 7% of peers with subspecialties

NPI lifetime · 2010 → 2026

2010-07Enumerated in NPPES
2010 2026

Where they practice

Practice location
6702 Treehills Pkwy
Stone Mountain, GA 300884605
📞 4049141777
Mailing address
Po Box 941692
Atlanta, GA 311410692
📞 4049141777

Specialties

  • Specialist Primary
    An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
    GA license #107031 taxonomy 174400000X
  • Behavior Analyst
    A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts...
    GA license #107031 taxonomy 103K00000X

Identifiers

TypeValueNotes
01 (GA) 107031 GEORGIA PROFESSIONAL CERTIFICATION

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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