Active NPI
Susan Horion Ross, FNP, PNP
- Nurse Practitioner
- Alpharetta, GA
National Provider Identifier
1083729610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN701446
- Practice address
- 3400 Old Milton Pkwy
Building C Suite 545
Alpharetta, GA 30005-3707 - Phone
- (770) 751-0800
- NPI assigned
- Aug 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN701446 | GA | Primary |
Addresses
Primary practice location
3400 Old Milton Pkwy
Building C Suite 545
Alpharetta, GA 30005-3707
Mailing address
2230 Blenheim CT
Marietta, GA 30066-4571
Phone (770) 928-6242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74416 | GA | MD | Diagnostic Radiology Physician |
| RN701446 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roswell Pediatric Center, P.C. | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1194
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Alpharetta, GA
- NPI 1487772596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1083729610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2230 BLENHEIM CT",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300664571",
"telephone_number": "770-928-6242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 OLD MILTON PKWY",
"address_2": "BUILDING C SUITE 545",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300053707",
"telephone_number": "770-751-0800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "SUSAN",
"middle_name": "HORION",
"name_prefix": "Mrs.",
"credential": "FNP, PNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN701446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.