Active NPI
Peter Ankrom, DO
- Emergency Medicine Physician
- Rome, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 2255
- Practice address
- 420 E 2ND Ave
Suite 103
Rome, GA 30161-3224 - Phone
- (706) 509-3278
- Fax
- (706) 509-4608
- NPI assigned
- Jul 26, 2006
- Last updated
- Oct 19, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 041256 | GA | |
| Internal Medicine Physician | 207R00000X | 041256 | GA | |
| Emergency Medicine Physician | 207P00000X | 2255 | TN | Primary |
Addresses
Primary practice location
420 E 2ND Ave
Suite 103
Rome, GA 30161-3224
Mailing address
304 Turner McCall Blvd SW
Rome, GA 30165-5621
Phone (706) 509-5000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000702798J | Medicaid | GA | |
| P00428756 | Other | RAILROAD MEDICARE | |
| 00702798B | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| App of Tennessee Ed, PLLC | Emergency Medicine | Current | Accepting new patients |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Emergency Coverage Services, PC | Past | Accepting new patients | |
| Tennessee Em-I Medical Services PC | Past | Accepting new patients | |
| Rosebud Indian Health Service | Past | Accepting new patients | |
| Dublin Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Sterling Emergency Services of the Southeast Inc | Emergency Medicine | Past | Accepting new patients |
Locations
300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769
1411 W Baddour Pkwy
Lebanon, TN 37087
Phone (615) 443-2500
907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818
100 Northcrest Dr
Springfield, TN 37172
Phone (615) 384-1531
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- pankrom670561@direct.vumc.org
- pcankrom@yourcarecommunity.org
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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-
- Emergency Medicine Physician
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- NPI 1063950046
-
- Emergency Medicine Physician
- Dublin, GA
- NPI 1891741575
-
- Emergency Medicine Physician
- Eatonton, GA
- NPI 1992763627
-
- Nurse Practitioner
- Lawrenceburg, TN
- NPI 1053351593
-
- Ambulatory Surgical Clinic/Center
- Rosebud, SD
- NPI 1790955128
-
- Physician Assistant
- Lebanon, TN
- NPI 1164742300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476835200000",
"number": "1013930478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 TURNER MCCALL BLVD SW",
"city": "ROME",
"state": "GA",
"postal_code": "301655621",
"telephone_number": "706-509-5000",
"fax_number": "706-509-4608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 E 2ND AVE",
"address_2": "SUITE 103",
"city": "ROME",
"state": "GA",
"postal_code": "301613224",
"telephone_number": "706-509-3278",
"fax_number": "706-509-4608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANKROM",
"first_name": "PETER",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2016-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "041256",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "041256",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TN",
"license": "2255",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000702798J",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00428756",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00702798B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rome, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.