Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shomari Andre Ruffin, MD

Individual provider Sports Medicine (Orthopaedic Surgery) Physician · NPI 1114185840

Shomari Andre Ruffin, MD is an Orthopedic Surgery in Carrollton, Georgia. Graduated from Medical College of Georgia School of Medicine in 2008, 18 years ago. Practices with Esop Rehabilitation LLC, a 245-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
18
Trained at
Medical College of Georgia School of Medicine
Licensed in
GA
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

150 Clinic Ave Ste 101
Carrollton, GA 30117-4401
Phone: (770) 834-0873
Fax: (770) 834-6118
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence 72107 (GA)

Record details

NPI number1114185840
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 29, 2008
Last updated in NPPESOctober 30, 2014
Mailing address150 Clinic Ave, Suite 101, Carrollton, GA 30117-4401

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice Esop Rehabilitation Llc — 245 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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