Individual provider Active NPI

Rhonda R Ross, MD

  • Family Medicine Physician
  • Decatur, GA
National Provider Identifier
1437220852
Registry record updated May 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
031820 Issued in GA
Practice address
2496 Columbia Dr
Decatur, GA 30034-1769
Phone
(404) 534-9222
Fax
(404) 534-9063
NPI assigned
Nov 10, 2006
Last updated
May 5, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 031820 GA Primary

Addresses

Primary practice location

2496 Columbia Dr
Decatur, GA 30034-1769

Mailing address

PO Box 769609
Roswell, GA 30076-8224
Phone (404) 534-9222

Other identifiers 3

IdentifierTypeStateIssuer
000401145DMedicaidGA
000401145EMedicaidGA
000401145FMedicaidGA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071018000021 GA Practitioner - Family Practice 1850487133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Howard University College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Clinic, PCGroup PAC ID 8426949587, 23 clinicians

Practice addresses (Care Compare)

1861 Peeler Rd
Suite 100
Dunwoody, GA 30338-5714
Phone (770) 730-5800

2496 Columbia Dr
Decatur, GA 30034-1769
Phone (404) 534-9222

6330 Primrose Hill CT
Norcross, GA 30092-4544
Phone (770) 903-0120

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
031820GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Clinic, PC Family Medicine CurrentSince Aug 1, 2007 Accepting new patients

Locations

2496 Columbia Dr
Decatur, GA 30034
Phone (404) 534-9222

1861 Peeler Rd
Ste 100
Dunwoody, GA 30338
Phone (770) 730-5800

6330 Primrose Hill Ct
Peachtree Corners, GA 30092
Phone (770) 309-8108

2362 Main St
Tucker, GA 30084
Phone (770) 938-1266

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462406400000",
    "number": "1437220852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 769609",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300768224",
            "telephone_number": "404-534-9222",
            "fax_number": "404-534-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2496 COLUMBIA DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300341769",
            "telephone_number": "404-534-9222",
            "fax_number": "404-534-9063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "RHONDA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2016-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "031820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000401145D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000401145E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000401145F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.