John Wayne Ross, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

010649 Issued in GA

Practice address

11552 Big Canoe
3017 Wild Turkey Bluff
Big Canoe, GA 30143-5114

Phone

(706) 579-1944

Fax

(706) 579-1944

NPI assigned

Feb 26, 2008

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Wellstar Health System, Inc.

  • Point of Service
  • Marietta, GA
  • NPI 1437219656
  NPD (past)
• Wellstar Medical Group, LLC

  dba WellStar Physicians Group Pathologists

  • Anatomic Pathology Physician
  • Austell, GA
  • NPI 1154616845
  NPD (past)

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1245409085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11552 BIG CANOE",
            "address_2": "3017 WILD TURKEY BLUFF",
            "city": "BIG CANOE",
            "state": "GA",
            "postal_code": "301435114",
            "telephone_number": "706-579-1944",
            "fax_number": "706-579-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11552 BIG CANOE",
            "address_2": "3017 WILD TURKEY BLUFF",
            "city": "BIG CANOE",
            "state": "GA",
            "postal_code": "301435114",
            "telephone_number": "706-579-1944",
            "fax_number": "706-579-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "JOHN",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-26",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "GA",
            "license": "010649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Caroline Lafontaine, MA, RD, LD
• Elizabeth Harman Mauldin, LCSW
• Nutritionmagic, Inc.
• Sally Ragonesi, P.T.
• Samuel Relyea
• Matthew Jeffrey Smolen, DC
• William Benjamin Zinney, DDS

• Anatomic Pathology & Clinical Pathology Physician in Big Canoe, GA
• Providers in Big Canoe, GA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.