Jennifer Ross, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY004295 Issued in GA

Practice address

200 Gordon Ave
Thomasville, GA 31792-6640

Phone

(229) 226-0741

Fax

(229) 227-9360

NPI assigned

Jul 18, 2019

Last updated

Jul 18, 2019By 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 1

Addresses

Other names 1

• Jennifer Coleman Former name

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Joe Garmon

  • Psychologist
  • Thomasville, GA
  • NPI 1831413426
  Medicare reassignment NPD

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1386297471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GORDON AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926640",
            "telephone_number": "229-226-0741",
            "fax_number": "229-227-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GORDON AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926640",
            "telephone_number": "229-226-0741",
            "fax_number": "229-227-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "JENNIFER",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY004295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "COLEMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ron M Bannister OD
• Rose City Orthopaedics
• Rose City Pharmacy LLC (Rose City Pharmacy)
• Rose Eye Care LLC (Eason Eye Care)
• Rose Falcone PC
• Kate Rowe
• Tony L Rowe, M.D.
• Sunshine Ann Rowles, FNP
• Melody Royal, RD, LD
• Natalie Y Royal, PNP

• Psychologist in Thomasville, GA
• Providers in Thomasville, GA by specialty
• Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.