Individual provider Active NPI

Cortie J Rolison IV, DO

  • Family Medicine Physician
  • Hoschton, GA
National Provider Identifier
1184986671
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
071278 Issued in GA
Practice address
26 W Jackson Commons Dr
Hoschton, GA 30548-1897
Phone
(770) 848-9190
Fax
(706) 658-2462
NPI assigned
Jun 12, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X LL1577 SC
Sports Medicine (Family Medicine) Physician 207QS0010X 03799 KY
Sports Medicine (Family Medicine) Physician 207QS0010X 71278 GA
Family Medicine Physician 207Q00000X 071278 GA Primary

Addresses

Primary practice location

26 W Jackson Commons Dr
Hoschton, GA 30548-1897

Mailing address

PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420

Other practice location 1

426 Exchange Blvd Ste 600
Bethlehem, GA 30620-1760
Phone (770) 307-5460

Other identifiers 5

IdentifierTypeStateIssuer
NPI #OtherSCTRICARE
NPI #OtherSCBLUE CHOICE COMMERCIAL
NPI #OtherSCBLUE CROSS NETWORK
NPI #OtherSCBLUE CHOICE MEDICAID
015771MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address crolison29527@nghs.gadirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150421002670 SC Practitioner - Family Practice 8022336197 Reassigns benefits to 1 organization
I20160720001113 GA Practitioner - Sports Medicine 8022336197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
Medical College of Georgia School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

26 W Jackson Commons Dr
Hoschton, GA 30548-1897
Phone (706) 658-2452

597 S Enota Dr NE
Gainesville, GA 30501-2545
Phone (770) 219-7777

990 Loganville Hwy 202
Bethlehem, GA 30620-2116
Phone (770) 219-9200

PO Box
Suite 1060
Oakwood, GA 30566-0018

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.83 of 100Reported as group
Quality
80.36
Promoting interoperability
100
Improvement activities
40
Cost
79.08

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
071278GAMDFamily Medicine Physician
LL1577SCMDFamily Medicine Physician
71278GAMDSports Medicine (Family Medicine) Physician
03799KYMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anmed Health Current Accepting new patients
Anmed Health CurrentSince Mar 3, 2015 Accepting new patients
Northeast Georgia Physicians Group Inc Family Medicine CurrentSince Jan 1, 2017 Accepting new patients
Piedmont Pathology Associates PA Current Accepting new patients
Diagnostic Radiology of Anderson, P.a. Current Accepting new patients

Locations

426 Exchange Blvd
Ste 600
Bethlehem, GA 30620
Phone (470) 429-5285

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

26 W Jackson Commons Dr
Hoschton, GA 30548
Phone (706) 658-2452

314 N Broad St
Ste 240
Winder, GA 30680
Phone (770) 307-4762

800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000

Interoperability endpoints

  • Direct secure messaging: crolison29527@nghs.gadirect.net

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1184986671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742616",
            "telephone_number": "770-219-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 W JACKSON COMMONS DR",
            "city": "HOSCHTON",
            "state": "GA",
            "postal_code": "305481897",
            "telephone_number": "770-848-9190",
            "fax_number": "706-658-2462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "426 Exchange Blvd Ste 600",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "GA",
            "postal_code": "306201760",
            "country_code": "US",
            "telephone_number": "770-307-5460",
            "fax_number": "470-429-5193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROLISON",
        "first_name": "CORTIE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-12",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "LL1577",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "KY",
            "license": "03799",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "GA",
            "license": "71278",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "071278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "NPI #",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE COMMERCIAL",
            "identifier": "NPI #",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS NETWORK",
            "identifier": "NPI #",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE MEDICAID",
            "identifier": "NPI #",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015771",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crolison29527@nghs.gadirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "26 W Jackson Commons Dr",
            "city": "Hoschton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305481897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hoschton, GA

Sources for this page

Verify at the official NPI Registry.