NPI age
17 years
Enumerated 2009-04-02
● Active
Type 1 · Individual
David Samuel Rudolph, D.O.
Rudolph is 1 of 32 internal medicine providers in Newnan and 1 of 5027 in Georgia.
Primary specialty
Internal Medicine
Licensed in
PA
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-10-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 5027 active internal medicine providers in Georgia.
NPI age
17 years
≈ at median (18 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
32% of peers hold subspecialties
NPI lifetime · 2009 → 2026
2009-04Enumerated in NPPES
2009
2026
Where they practice
Practice location
354 Newnan Crossing Byp, Suite 205
Newnan, GA 302652323
Mailing address
95 Collier Rd Nw, Suite 4075
Atlanta, GA 303091796
Specialties
-
Internal Medicine PrimaryA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | OS14560 | PA MEDICAL LICENSE # |
| 01 (PA) | 1922077643 | MLHC GROUP NPI # |
| 01 (PA) | 440771 | MLHC MEDICARE AA# |
| 01 (PA) | 824305 | BS AA# |
| 01 (PA) | 037276 | MLHC GROUP AA # |
Practice context
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new internal medicine provider has been added in Newnan in the last 180 days.
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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.
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