Active NPI
Cortie J Rolison IV, DO
- Family Medicine Physician
- Hoschton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 071278
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NPI # | Other | SC | TRICARE |
| NPI # | Other | SC | BLUE CHOICE COMMERCIAL |
| NPI # | Other | SC | BLUE CROSS NETWORK |
| NPI # | Other | SC | BLUE CHOICE MEDICAID |
| 015771 | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | crolison29527@nghs.gadirect.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
- Amedisys Home Health of Covington
- Pruitthealth at Home - Atlanta
- Northeast Georgia Medical Center, Inc
- NGMC Barrow, LLC
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.83 of 100
- Quality
- 80.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.08
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071278 | GA | MD | Family Medicine Physician |
| LL1577 | SC | MD | Family Medicine Physician |
| 71278 | GA | MD | Sports Medicine (Family Medicine) Physician |
| 03799 | KY | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anmed Health | Current | Accepting new patients | |
| Anmed Health | Current | Accepting new patients | |
| Northeast Georgia Physicians Group Inc | Family Medicine | Current | 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
- 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.
-
- Family Medicine Physician
- Gainesville, GA
- NPI 1891745212
-
- Emergency Medicine Physician
- Anderson, SC
- NPI 1710918321
-
- Internal Medicine Physician
- Anderson, SC
- NPI 1285154914
-
- Diagnostic Radiology Physician
- Anderson, SC
- NPI 1922125269
-
- Anatomic Pathology & Clinical Pathology Physician
- Anderson, SC
- NPI 1235101965
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Covington, GA
- NPI 1134177835
-
- General Acute Care Hospital
- Winder, GA
- NPI 1881144889
-
- General Acute Care Hospital
- Gainesville, GA
- NPI 1427055821
-
- Home Health Agency
- Monroe, GA
- NPI 1073553566
-
- Home Health Agency
- Winder, GA
- NPI 1407016553
-
- Home Health Agency
- Vidalia, GA
- NPI 1720667090
-
- Home Health Agency
- Norcross, GA
- NPI 1760420749
-
- Home Health Agency
- Augusta, GA
- NPI 1841879194
-
- Home Health Agency
- Valdosta, GA
- NPI 1912586272
-
- Home Health Agency
- Savannah, GA
- NPI 1922687284
-
- Home Health Agency
- Greensboro, GA
- NPI 1700023371
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.