Active NPI
Rosina Ibeth Ellington, ARNP
- Nurse Practitioner
- Fayetteville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN186595
- Practice address
- 1255 Highway 54 W
Fayetteville, GA 30214-4526 - Phone
- (770) 719-7256
- Fax
- (770) 719-7378
- NPI assigned
- Sep 10, 2008
- 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 | RN186595 | GA | Primary |
Addresses
Primary practice location
1255 Highway 54 W
Fayetteville, GA 30214-4526
Mailing address
165 Cottonbelle Dr
Stockbridge, GA 30281-9146
Phone (770) 389-7127
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 595097960A | Medicaid | GA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Phone (678) 604-1000
Hospital & facility affiliations
- Piedmont Henry Hospital
- Northside Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Healthcare Inc | Current | Accepting new patients | |
| Piedmont Specialty Hospital Billing LLC | Current | Accepting new patients | |
| Southeastern Wound Care Services, Inc | Past | Accepting new patients |
Locations
2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421
1984 Peachtree Rd NW
Ste 205
Atlanta, GA 30309
1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000
1255 Highway 54 W
Fayetteville, GA 30214
Phone (770) 719-6911
1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1699290510
-
- Cardiovascular Disease Physician
- Stockbridge, GA
- NPI 1376624940
-
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Conyers, GA
- NPI 1710175500
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
-
- General Acute Care Hospital
- Stockbridge, GA
- NPI 1225034333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519776000000",
"number": "1184873549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 COTTONBELLE DR",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302819146",
"telephone_number": "770-389-7127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1255 HIGHWAY 54 W",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302144526",
"telephone_number": "770-719-7256",
"fax_number": "770-719-7378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLINGTON",
"first_name": "ROSINA",
"middle_name": "IBETH",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-10",
"last_updated": "2018-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN186595",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "595097960A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, GA
- Elite Medical Equipment & Supply Company LLC
- Elite Medical Equipment and Supply Company LLC
- Elite Staffing Group for Surgical Nurses, LLC.
- Elite Therapy Services, LLC
- Courtney Ellerbee, RBT
- Kathryn Elliott, LMT
- Patricia Marie Ellis, PA-C
- Shedrion Zhane Elom, CADCII
- Nora Elwell
- Emerging Speech Therapy
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.