Active NPI
Alice Rose House, MD
- Family Medicine Physician
- Macon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 043065
- Practice address
- 1550 College St
Suite a
Macon, GA 31207-0001 - Phone
- (478) 301-4111
- Fax
- (478) 301-5812
- NPI assigned
- Sep 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 043065 | GA | Primary |
Addresses
Primary practice location
1550 College St
Suite a
Macon, GA 31207-0001
Mailing address
PO Box 4947
Macon, GA 31208-4947
Phone (478) 301-2362
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080188724 | Other | GA | RAILROAD MEDICARE |
| 000807364C | Medicaid | GA |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercer Physical Therapy | Current | Accepting new patients | |
| Privia Medical Group of Georgia LLC | Family Medicine | Current | Accepting new patients |
| The Corporation of Mercer University | Current | Accepting new patients | |
| Privia Medical Group of Georgia LLC | Family Medicine | Current | Accepting new patients |
| Mercer Medicine, LLC | Family Medicine | Past | Accepting new patients |
| Central Georiga Fertility Institute | Past | Accepting new patients |
Locations
101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285
1550 College St
Macon, GA 31207
Phone (478) 301-2600
1550 College St
Ste A
Macon, GA 31207
250 Mlk Blvd
Macon, GA 31201
Phone (478) 301-2362
777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600
419 Elberta Rd
Warner Robins, GA 31093
Phone (478) 923-3146
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Fayetteville, GA
- NPI 1013313857
Family Medicine
-
- Family Medicine Physician
- Macon, GA
- NPI 1174693162
-
- Physical Therapy Clinic/Center
- Atlanta, GA
- NPI 1477861904
-
- Internal Medicine Physician
- Savannah, GA
- NPI 1356907273
Family Medicine
-
- Multi-Specialty Clinic/Center
- Macon, GA
- NPI 1841171998
-
- Reproductive Endocrinology Physician
- Macon, GA
- NPI 1447390901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405641600000",
"number": "1043319650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4947",
"city": "MACON",
"state": "GA",
"postal_code": "312084947",
"telephone_number": "478-301-2362",
"fax_number": "478-301-2272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 COLLEGE ST",
"address_2": "SUITE A",
"city": "MACON",
"state": "GA",
"postal_code": "312070001",
"telephone_number": "478-301-4111",
"fax_number": "478-301-5812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSE",
"first_name": "ALICE",
"middle_name": "ROSE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2014-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "043065",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080188724",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000807364C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; 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.