Active NPI
Charles B. Ross, MD
- Vascular Surgery Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 068549
- Practice address
- 95 Collier Road
Suite 5015
Atlanta, GA 30309 - Phone
- (404) 605-5699
- Fax
- (404) 355-4235
- NPI assigned
- Jun 23, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 24250 | KY | |
| Vascular Surgery Physician | 2086S0129X | 01066838A | IN | |
| Vascular Surgery Physician | 2086S0129X | 068549 | GA | Primary |
Addresses
Primary practice location
95 Collier Road
Suite 5015
Atlanta, GA 30309
Mailing address
95 Collier Road
Suite 5015
Atlanta, GA 30309
Phone (404) 605-5699
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003129136C | Medicaid | GA |
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
- Vascular Surgery
- Education
- University of Kentucky College of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000
191 Deep S Farm Rd
Blairsville, GA 30512-2220
Phone (706) 439-6380
1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone (404) 605-5000
3820 Medical Park Dr
Suite 2200
Austell, GA 30106-1110
Phone (770) 941-7741
400 Tower Rd NE
Suite 110
Marietta, GA 30060-9417
Phone (770) 720-2383
Hospital & facility affiliations
- Piedmont Hospital, Inc
- Piedmont Mountainside Hospital Inc
- Union General Hospital
- Piedmont Henry Hospital
- Piedmont Newnan Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 48 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 068549 | GA | MD | Vascular Surgery Physician |
| 01066838A | IN | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Cardiology of Atlanta, LLC | Current | Accepting new patients | |
| Surgical Group PSC | Past | Accepting new patients | |
| Regional Radiology Associates, PLLC | Past | Accepting new patients | |
| Vascular Specialists,PLLC | Past | Accepting new patients |
Locations
275 Collier Rd NW
Ste 500
Atlanta, GA 30309
Phone (404) 355-6562
95 Collier Rd NW
Ste 2045
Atlanta, GA 30309
Phone (404) 605-5110
95 Collier Rd NW
Ste 5015
Atlanta, GA 30309
Phone (404) 605-5699
3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752
1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000
6115 Peachtree Dunwoody Rd
Ste 300
Sandy Springs, GA 30328
Phone (404) 851-5400
Organizations & group practices 4
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.
-
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1275729691
-
- Diagnostic Radiology Physician
- Paducah, KY
- NPI 1457440893
-
- Specialist
- Paducah, KY
- NPI 1780659946
-
- Specialist
- Paducah, KY
- NPI 1043248859
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Stockbridge, GA
- NPI 1225034333
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1962461681
-
- General Acute Care Hospital
- Jasper, GA
- NPI 1780643411
-
- General Acute Care Hospital
- Newnan, GA
- NPI 1134133002
-
- General Acute Care Hospital
- Blairsville, GA
- NPI 1487684122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355097600000",
"number": "1326044330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 COLLIER ROAD",
"address_2": "SUITE 5015",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30309",
"telephone_number": "404-605-5699",
"fax_number": "404-355-4235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 COLLIER ROAD",
"address_2": "SUITE 5015",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30309",
"telephone_number": "404-605-5699",
"fax_number": "404-355-4235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "CHARLES",
"middle_name": "B.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-23",
"last_updated": "2012-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "KY",
"license": "24250",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "IN",
"license": "01066838A",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "GA",
"license": "068549",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003129136C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; 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.