Individual provider Active NPI

Antranika D. Ross, N.P.

  • Primary Care Nurse Practitioner
  • Riverdale, GA
National Provider Identifier
1023550696
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN202316 Issued in GA
Practice address
33 Upper Riverdale Rd SW Ste 107
Riverdale, GA 30274-2642
Phone
(678) 489-6734
Fax
(888) 497-4760
NPI assigned
Nov 13, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN202316 GA
Gerontology Nurse Practitioner 363LG0600X RN202316 GA
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X RN202316 GA Primary

Addresses

Primary practice location

33 Upper Riverdale Rd SW Ste 107
Riverdale, GA 30274-2642

Mailing address

145 Acorn Dr
McDonough, GA 30253-4703
Phone (678) 749-5702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170314000318 GA Practitioner - Nurse Practitioner 5294010211 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

33 Upper Riverdale Rd SW
Suite 107
Riverdale, GA 30274-2642
Phone (678) 489-6734

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN202316GAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physiatry Consultants of Ga LLC Multi-Specialty CurrentSince Mar 1, 2021 Accepting new patients
Ross and Associates Medical Partners LLC Multi-Specialty CurrentSince Dec 28, 2020 Accepting new patients
SHC Medical Partners of Georgia, LLC Multi-Specialty CurrentSince Feb 13, 2017 Accepting new patients
Ramp Care at Home Multi-Specialty CurrentSince Sep 14, 2025 Accepting new patients

Locations

54 Peachtree Park Dr NE
Atlanta, GA 30309
Phone (404) 351-6041

78 Opal St
Cartersville, GA 30120
Phone (770) 382-6120

1800 Phoenix Blvd
College Park, GA 30349
Phone (515) 531-5175

4028 Highway 5
Douglasville, GA 30135
Phone (770) 422-7111

2055 Rex Rd
Morrow, GA 30260
Phone (404) 361-1028

3805 Jackson Way
Powder Springs, GA 30127
Phone (678) 489-6734

3460 Powder Springs Rd
Powder Springs, GA 30127
Phone (770) 439-9199

33 Upper Riverdale Rd SW
Ste 107
Riverdale, GA 30274
Phone (678) 489-6734

5231 Memorial Dr
Ste B1
Stone Mountain, GA 30083
Phone (678) 489-6734

4759 Rockbridge Rd
Ste A
Stone Mountain, GA 30083
Phone (678) 489-6734

4759 Rockbridge Rd
Stone Mtn, GA 30083

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

12201 Bluegrass Pkwy
Louisville, KY 40299
Phone (502) 568-7364

805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22566/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1478995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1023550696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 ACORN DR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534703",
            "telephone_number": "678-749-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 UPPER RIVERDALE RD SW STE 107",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742642",
            "telephone_number": "678-489-6734",
            "fax_number": "888-497-4760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "ANTRANIKA",
        "middle_name": "D.",
        "name_prefix": "Miss",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-13",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN202316",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "GA",
            "license": "RN202316",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN202316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, GA

Sources for this page

Verify at the official NPI Registry.