Organization Active NPI

Ross and Associates Medical Partners LLC

  • Primary Care Nurse Practitioner
  • Riverdale, GA
National Provider Identifier
1376145318
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
ROSS AND ASSOCIATES MEDICAL PARTNERS LLC
Practice address
33 Upper Riverdale Rd SW Ste 107
Riverdale, GA 30274-2642
Phone
(678) 489-6734
Fax
(888) 498-4760
NPI assigned
Nov 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Authorized official

Name
Antranika D. Ross, NPNPI 1023550696
Title
Nurse Practitioner
Phone
(678) 749-5702

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X
Gerontology Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LG0600X
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

33 Upper Riverdale Rd SW Ste 107
Riverdale, GA 30274-2642

Mailing address

145 Acorn Dr
McDonough, GA 30253-4703
Phone (678) 749-5702

Other practice location 1

2055 Rex Rd
Morrow, GA 30260-3944
Phone (678) 749-5702

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address antranikaross@rampupthecare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210107000333 GA Part B Supplier - Clinic/Group Practice 0143633313 Receives reassigned benefits from 1 practitioner
Practice locations: Stone Mountain, GA; Riverdale, GA; College Park, GA; Powder Springs, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2248171Ross and Associates Medical Partners, LLC33 Upper Riverdale Road, Suite 107, Riverdale, GA 30274Certificate of waiverJan 11, 2028

National Provider Directory

National Provider Directory

Locations

33 Upper Riverdale Rd SW
Ste 107
Riverdale, GA 30274
Phone (678) 489-6734

4759 Rockbridge Rd
Ste A
Stone Mountain, GA 30083
Phone (678) 489-6734

4759 Rockbridge Rd
Stone Mtn, GA 30083

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22566/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1376145318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 ACORN DR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534703",
            "telephone_number": "678-749-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 UPPER RIVERDALE RD SW STE 107",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742642",
            "telephone_number": "678-489-6734",
            "fax_number": "888-498-4760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2055 Rex Rd",
            "address_purpose": "LOCATION",
            "city": "Morrow",
            "state": "GA",
            "postal_code": "302603944",
            "country_code": "US",
            "telephone_number": "678-749-5702",
            "fax_number": "404-363-6366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROSS AND ASSOCIATES MEDICAL PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-13",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "ANTRANIKA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "678-749-5702",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "antranikaross@rampupthecare.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "33 Upper Riverdale Rd SW Ste 107",
            "city": "Riverdale",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302742642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.