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1740518695

NPI Code Detail

MEDICARE: DR. ANDRES CAMILO RUIZ MD

MEDICARE: DR. ANDRES CAMILO RUIZ MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084A2900X	Neurocritical Care Physician	2025-00249	NC
2	2084N0400X	Neurology Physician	MD487794	PA
3	2084N0400X	Neurology Physician	2025-00249	NC
4	2084A2900X	Neurocritical Care Physician	82321	SC
5	2084N0400X	Neurology Physician	2017008829	MO
6	2084A2900X	Neurocritical Care Physician	92874	GA
7	2084A2900X	Neurocritical Care Physician	2017008829	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740518695
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDRES CAMILO RUIZ MD

Provider Business Mailing Address
First Line	:	PO BOX 742616
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-2616
Country	:	US
Telephone Number	:	770-219-8420
Fax Number	:

Provider Business Practice Location Address
First Line	:	743 SPRING ST NE
Second Line	:
City	:	GAINESVILLE
State	:	GA
Zip	:	30501-3715
Country	:	US
Telephone Number	:	770-219-9000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/03/2009
Last Update Date	:	03/09/2026

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Directions to “ DR. ANDRES CAMILO RUIZ MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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