Active NPI
Polly Ellison Ross, M.D.
- Family Medicine Physician
- Asheville, NC
National Provider Identifier
1356433569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0039473
- Practice address
- 10 Ridgelawn Rd
Asheville, NC 28806-4429 - Phone
- (828) 285-0622
- Fax
- (828) 285-9421
- NPI assigned
- Sep 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0039473 | NC | Primary |
Addresses
Primary practice location
10 Ridgelawn Rd
Asheville, NC 28806-4429
Mailing address
PO Box 338
Asheville, NC 28802-0338
Phone (828) 285-0622
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8973379 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0039473 | NC | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292457600000",
"number": "1356433569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 338",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288020338",
"telephone_number": "828-285-0622",
"fax_number": "828-285-9421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 RIDGELAWN RD",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288064429",
"telephone_number": "828-285-0622",
"fax_number": "828-285-9421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "POLLY",
"middle_name": "ELLISON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2010-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "0039473",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8973379",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.