Active NPI
William a J Alexander Jackson Ross Jr Jr., M.D.
- Orthopaedic Surgery Physician
- Riverdale, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 52433
- Practice address
- 33 Upper Riverdale Rd SW Ste 112
Riverdale, GA 30274-2642 - Phone
- (770) 897-7874
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 52433 | KY | Primary |
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | 047650 | GA |
Addresses
Primary practice location
33 Upper Riverdale Rd SW Ste 112
Riverdale, GA 30274-2642
Mailing address
1920 Niskey Lake TRL SW
Atlanta, GA 30331-6326
Phone (404) 344-9755
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00839462E | Medicaid | GA | |
| 52433 | Other | KY | KY MEDICAL LICENSE |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Meharry Medical College School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physiotherapy Associates Inc
Practice addresses (Care Compare)
11 Upper Riverdale Rd SW
Women's Center
Riverdale, GA 30274-2615
Phone (770) 991-8000
335 Upper Riverdale Rd
Jonesboro, GA 30236-1071
Phone (770) 907-5743
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047650 | GA | MD | Orthopaedic Foot and Ankle Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Regional Physicians Management Group, LLC | Current | Accepting new patients | |
| Ascension Sacred Heart Gulf | Past | Accepting new patients | |
| The Ross Orthopaedic Wellness Center | Orthopaedic Surgery | Past | Accepting new patients |
Locations
11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277
11 Upper Riverdale Rd SW
Ste 21
Riverdale, GA 30274
33 Upper Riverdale Rd SW
Ste 112
Riverdale, GA 30274
Phone (770) 996-3190
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.
-
- Surgery Physician
- Riverdale, GA
- NPI 1043677271
-
- Orthopaedic Surgery Physician
- Lithonia, GA
- NPI 1003005000
-
dba Ascension Medical Group Sacred Heart Gulf
- Family Medicine Physician
- Pensacola, FL
- NPI 1528336302
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Southern Regional Medical Center
- General Acute Care Hospital
- Riverdale, GA
- NPI 1154795581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762214400000",
"number": "1245282037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1920 NISKEY LAKE TRL SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303316326",
"telephone_number": "404-344-9755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 UPPER RIVERDALE RD SW STE 112",
"city": "RIVERDALE",
"state": "GA",
"postal_code": "302742642",
"telephone_number": "770-897-7874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS JR",
"first_name": "WILLIAM A J",
"middle_name": "ALEXANDER JACKSON",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "KY",
"license": "52433",
"primary": true
},
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "GA",
"license": "047650",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00839462E",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KY MEDICAL LICENSE",
"identifier": "52433",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Riverdale, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.