Individual provider Active NPI

Emma Rossio

  • Nurse Practitioner
  • Newnan, GA
National Provider Identifier
1114689866
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN305014 Issued in GA
Practice address
8 E Court SQ
Newnan, GA 30263-2053
Phone
(678) 833-1444
NPI assigned
Oct 11, 2021
Last updated
Mar 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN305014 GA Primary

Addresses

Primary practice location

8 E Court SQ
Newnan, GA 30263-2053

Mailing address

300 Ashley Park Blvd Apt 1001
Newnan, GA 30263-6405

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
I20211118002634 GA Practitioner - Nurse Practitioner 1850780560 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Truffles Vein Center LLCGroup PAC ID 1355594797, 14 clinicians

Practice addresses (Care Compare)

874 Lanier Ave W
Suite 220
Fayetteville, GA 30214-7659
Phone (678) 833-1444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN305014GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree Immediate Care FP, LLC CurrentSince Nov 15, 2021 Accepting new patients
Truffles Vein of Central Georgia LLC CurrentSince Jan 6, 2026 Accepting new patients
Truffles Vein Center, LLC CurrentSince Sep 3, 2023 Accepting new patients

Locations

1275 Highway 54 W
Ste 201
Fayetteville, GA 30214
Phone (770) 461-3776

590 Lanier Ave W
Fayetteville, GA 30214

874 Lanier Ave W
Ste 120
Fayetteville, GA 30214
Phone (678) 833-1444

874 Lanier Ave W
Ste 220
Fayetteville, GA 30214
Phone (678) 833-1444

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

371 Newnan Crossing Byp
Ste 103
Newnan, GA 30265
Phone (770) 400-8410

8 E Court Sq
Newnan, GA 30263
Phone (678) 833-1444

5041 Dallas Hwy
Ste 107
Powder Springs, GA 30127
Phone (678) 833-1444

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CBBACA/Endpoint/CBBACA

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1114689866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 ASHLEY PARK BLVD APT 1001",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302636405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 E COURT SQ",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302632053",
            "telephone_number": "678-833-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSIO",
        "first_name": "EMMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-11",
        "last_updated": "2024-03-05",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN305014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.