Connie Gene Ross, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

32565 Issued in NC

Practice address

590 S Trade St
Tryon, NC 28782-3714

Phone

(828) 859-0420

Fax

(828) 859-0422

NPI assigned

Nov 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Integrative Medical Associates, PLLC

  • Adult Medicine Physician
  • Tryon, NC
  • NPI 1578783239
  NPD (past) Authorized official

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346315959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1521",
            "city": "RUTHERFORDTON",
            "state": "NC",
            "postal_code": "281398392",
            "telephone_number": "828-287-5867",
            "fax_number": "828-859-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 S TRADE ST",
            "city": "TRYON",
            "state": "NC",
            "postal_code": "287823714",
            "telephone_number": "828-859-0420",
            "fax_number": "828-859-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "CONNIE",
        "middle_name": "GENE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "SC",
            "license": "12833",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NC",
            "license": "32565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monte J Penrod, D.C.
• Anitra Brinson Peterson, LMT
• Polk County Local Government (Polk County Department of Social Services)
• Paige Putnam
• Robert R. Ratcliffe (Tryon Psychiatric Associates)
• Carolyn Savaia, NBC-HWV
• Donna Michele Sellers, LCSW, LISW LCAS, CCS
• Bobbie H Shannon, LPC
• Smith Optometric Eye Associates of Tryon, PA
• Julie Elizabeth Snyder, LCSW

• General Practice Physician in Tryon, NC
• Providers in Tryon, NC by specialty
• General Practice Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.