Active NPI
Antranika D. Ross, N.P.
- Primary Care Nurse Practitioner
- Riverdale, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- RN202316
- 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
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | RN202316 | GA | |
| Gerontology Nurse Practitioner | 363LG0600X | RN202316 | GA | |
| Primary Care Nurse Practitioner | 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN202316 | GA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physiatry Consultants of Ga LLC | Multi-Specialty | Current | Accepting new patients |
| Ross and Associates Medical Partners LLC | Multi-Specialty | Current | Accepting new patients |
| SHC Medical Partners of Georgia, LLC | Multi-Specialty | Current | Accepting new patients |
| Ramp Care at Home | Multi-Specialty | Current | 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
- 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.
-
- Primary Care Nurse Practitioner
- Riverdale, GA
- NPI 1376145318
Multi-Specialty
-
- Physical Medicine & Rehabilitation Physician
- Morton Grove, IL
- NPI 1609468248
GA, Multi-Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.