Andrea A Rose, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN221014 Issued in GA

Practice address

2796 Highway 20 SE
Conyers, GA 30013-2735

Phone

(678) 374-5134

NPI assigned

Apr 17, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• Recovery Consultants of Atlanta, Inc.

  • Federally Qualified Health Center (FQHC)
  • Tucker, GA
  • NPI 1851482376
  Medicare reassignment NPD
• Recovery Consultants of Atlanta, Inc.

  dba Unity Health Systems of Georgia

  • Federally Qualified Health Center (FQHC)
  • Decatur, GA
  • NPI 1053769273
  NPD
• Sonquest Development, Inc.

  dba Attain Health

  • Health Service Clinic/Center
  • Conyers, GA
  • NPI 1356792501
  NPD (past)

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1235626003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2796 HIGHWAY 20 SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132735",
            "telephone_number": "678-374-5134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2796 HIGHWAY 20 SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132735",
            "telephone_number": "678-374-5134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1412 Milstead Ave NE",
            "address_purpose": "LOCATION",
            "city": "Conyers",
            "state": "GA",
            "postal_code": "300123877",
            "country_code": "US",
            "telephone_number": "770-918-3000",
            "fax_number": "770-918-3104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "ANDREA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "GA",
            "license": "RN221014",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN221014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodney a West, DC, LLC
• Natasha Roebuck
• Rogenia's PHC Services LLC
• Tyra Rollins
• Ronald S. Cavola, DDS, PC
• Latricia Cierra Rose, FNP
• Beverly D. Roseberry, APRN
• Adrianne J Ross, D.P.M.
• Juanita Ross, LMT
• Michelle A Ross, M.D.

• Nurse Practitioner in Conyers, GA
• Providers in Conyers, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; 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.