Individual provider Active NPI

Karen R Rose, FNP

  • Family Nurse Practitioner
  • Ringgold, GA
National Provider Identifier
1073917902
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN134082 Issued in GA
Practice address
6120 Alabama Hwy
Ringgold, GA 30736
Phone
(706) 935-6442
Fax
(706) 935-6441
NPI assigned
Oct 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN134082 GA Primary

Addresses

Primary practice location

6120 Alabama Hwy
Ringgold, GA 30736

Mailing address

30 Burton Hills Blvd
Ste 175
Nashville, TN 37215-6403
Phone (615) 988-2014

Other practice location 1

3707 Largent Way NW
Marietta, GA 30064-5981
Phone (678) 581-5729

Other practice location 2

11912 Jones Bridge Rd Ste B
Alpharetta, GA 30005-4613
Phone (770) 615-7566

Other practice location 3

18 Riverbend Dr SW Ste 120
Rome, GA 30161-6019
Phone (706) 378-1202

Other practice location 4

3707 Largent Way NW
Marietta, GA 30064-5981
Phone (678) 581-5729

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
I20150218000473 GA Practitioner - Nurse Practitioner 0345565230 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harbin Clinic LLCGroup PAC ID 0446154231, 238 clinicians

Practice addresses (Care Compare)

1825 Martha Berry Blvd NW
Rome, GA 30165-1625
Phone (762) 235-2495

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
RSS Michael Dierkes LLC CurrentSince Jan 17, 2018 Accepting new patients
Minuteclinic LLC Family CurrentSince Dec 1, 2014 Accepting new patients
Harbin Clinic, LLC Past Accepting new patients
Wellstreet of Georgia PC PastSince Nov 24, 2023 Accepting new patients
RSS Gary Nelson LLC Past Accepting new patients

Locations

5095 Peachtree Pkwy
Norcross, GA 30092
Phone (770) 209-9299

11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141

1050 Texan Trl
Ste 300
Grapevine, TX 76051

Organizations & group practices 5

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": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1073917902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BURTON HILLS BLVD",
            "address_2": "STE 175",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156403",
            "telephone_number": "615-988-2014",
            "fax_number": "615-208-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 ALABAMA HWY",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "30736",
            "telephone_number": "706-935-6442",
            "fax_number": "706-935-6441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3707 Largent Way NW",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300645981",
            "country_code": "US",
            "telephone_number": "678-581-5729",
            "fax_number": "678-581-5719",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11912 Jones Bridge Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300054613",
            "country_code": "US",
            "telephone_number": "770-615-7566",
            "fax_number": "470-275-3935",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18 Riverbend Dr SW Ste 120",
            "address_purpose": "LOCATION",
            "city": "Rome",
            "state": "GA",
            "postal_code": "301616019",
            "country_code": "US",
            "telephone_number": "706-378-1202",
            "fax_number": "706-378-1204",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3707 Largent Way NW",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300645981",
            "country_code": "US",
            "telephone_number": "678-581-5729",
            "fax_number": "678-581-5719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "KAREN",
        "middle_name": "R",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-21",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN134082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ringgold, GA

Sources for this page

Verify at the official NPI Registry.