Sherica Nicole Rosser, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A96532 Issued in CA

Practice address

526 Forest Pkwy Ste K
Forest Park, GA 30297-6140

Phone

(770) 545-2052

NPI assigned

Mar 5, 2007

Last updated

Mar 19, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
• Direct secure messaging: srosser40371@choa.gadirect.net

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.

• Emergency Group of Columbus, LLC

  • Emergency Medicine Physician
  • Columbus, GA
  • NPI 1316458227
  Medicare reassignment NPD
• Gwinnett Emergency Specialists Observation Services, LLC

  • Emergency Medicine Physician
  • Lawrenceville, GA
  • NPI 1720373129
  Medicare reassignment NPD
• Gwinnett Emergency Specialists, LLC

  • Emergency Medicine Physician
  • Lawrenceville, GA
  • NPI 1437346467
  Medicare reassignment NPD
• Northside Emergency Associates, LLC

  • Emergency Medicine Physician
  • Sandy Springs, GA
  • NPI 1285686303
  Medicare reassignment NPD
• Wellstar Medical Group, LLC

  dba WellStar Family Medicine ACW

  • Family Medicine Physician
  • Kennesaw, GA
  • NPI 1558664003
  Medicare reassignment NPD
• Health for All, Inc.

  • Federally Qualified Health Center (FQHC)
  • Sacramento, CA
  • NPI 1700896404
  NPD (past)
• Health for All, Inc.

  • Federally Qualified Health Center (FQHC)
  • Sacramento, CA
  • NPI 1891705596
  NPD (past)

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426723200000",
    "number": "1174652911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 PARK HAVEN LANE",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "30290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 FOREST PKWY STE K",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302976140",
            "telephone_number": "770-545-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSER",
        "first_name": "SHERICA",
        "middle_name": "NICOLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2015-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A96532",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "61157",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61157",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A965320",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renal Treatment Centers Mid Atlantic Inc (Forest Park Dialysis Center)
• Respect Behavior Therapy
• Arleen Revely, NP
• Andrea Nicholle Robinson
• Lisa Roseberry, NP
• Saigon Pharmacy LLC (Saigon Pharmacare)
• Saigon Pharmacy LLC (Saigon Pharmacare)
• San Jose Supplies
• Seacoast at Governor's Glen
• Secured Care Home Health Services Inc.

• Pediatrics Physician in Forest Park, GA
• Providers in Forest Park, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.

Verify at the official NPI Registry.