Individual provider Active NPI

Jana M Rose, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Cornelia, GA
National Provider Identifier
1063438745
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD000902 Issued in GA
Practice address
134B Market Corners Dr
Cornelia, GA 30531-5766
Phone
(706) 776-3132
Fax
(706) 776-2836
NPI assigned
Jul 14, 2006
Last updated
Feb 12, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X POD000902 GA Primary

Addresses

Primary practice location

134B Market Corners Dr
Cornelia, GA 30531-5766

Mailing address

PO Box 191
Cornelia, GA 30531-1002
Phone (706) 776-3132

Other identifiers 2

IdentifierTypeStateIssuer
00871934CMedicaidGA
P00631297OtherGARAILROAD MEDICARE

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040716000773 GA Practitioner - Podiatry 7012995228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

134 Market Corners Dr
Suite B
Cornelia, GA 30531-5766
Phone (706) 776-3132

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue125
Removal of nail tissue318
Removal or shaving of skin growth199

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000902GAMDClinical Psychologist
POD000902GAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Habersham Podiatry Foot & Ankle Surgery CurrentSince Sep 1, 2000 Accepting new patients
Focus Foot & Ankle Centers, LLC Foot & Ankle Surgery Past Accepting new patients

Locations

134 Market Corners Dr
#B
Cornelia, GA 30531
Phone (706) 776-3132

134B Market Corners Dr
Cornelia, GA 30531
Phone (706) 776-3132

Interoperability endpoints

  • Direct secure messaging: janarose@hapo.allscriptsdirect.net

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360627200000",
    "number": "1063438745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191",
            "city": "CORNELIA",
            "state": "GA",
            "postal_code": "305311002",
            "telephone_number": "706-776-3132",
            "fax_number": "706-776-2836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134B MARKET CORNERS DR",
            "city": "CORNELIA",
            "state": "GA",
            "postal_code": "305315766",
            "telephone_number": "706-776-3132",
            "fax_number": "706-776-2836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "JANA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2013-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD000902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00871934C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00631297",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornelia, GA

Sources for this page

Verify at the official NPI Registry.