Anita M Ross, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN102271 NP Issued in GA

Practice address

110 Norman Dorminy Dr Ste a
Fitzgerald, GA 31750-8858

Phone

(229) 409-0874

Fax

(229) 424-7392

NPI assigned

Oct 23, 2006

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 identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tift Regional Health System IncGroup PAC ID 2062745169, 294 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tift Regional Medical Center Hospital, Tifton, GA, CCN 110095

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Tift Regional Health System Inc

  dba Southwell Mobile Clinic

  • Family Medicine Physician
  • Tifton, GA
  • NPI 1881203305
  Medicare reassignment Care Compare group NPD
• Phoebe Physician Group, Inc

  • Clinic/Center
  • Albany, GA
  • NPI 1487899464
  Medicare reassignment NPD
• Phoebe Dorminy Family Care

  • Clinic/Center
  • Fitzgerald, GA
  • NPI 1992084644
  NPD
• Tift Regional Health System Inc

  dba WorkSmart Occupational Medicine

  • Clinic/Center
  • Tifton, GA
  • NPI 1003980996
  NPD
• Tift Regional Health System Inc

  dba Affinity Clinic

  • Pediatrics Physician
  • Tifton, GA
  • NPI 1366765166
  NPD
• Collins Cardiology

  • Nuclear Cardiology Physician
  • Fitzgerald, GA
  • NPI 1245389006
  NPD (past)
• Robert a Ludwick, M.D.PC

  • Family Medicine Physician
  • Fitzgerald, GA
  • NPI 1538284278
  NPD (past)
• Thomas R. Mann, M.D.PC

  • Internal Medicine Physician
  • Fitzgerald, GA
  • NPI 1275658783
  NPD (past)

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

• Tift Regional Health System Inc.

  dba Tift Regional Medical Center

  • General Acute Care Hospital
  • Tifton, GA
  • NPI 1962462226
  Care Compare affiliation

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1447333471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 KITE RD",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304013231",
            "telephone_number": "478-289-1303",
            "fax_number": "478-289-7466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 NORMAN DORMINY DR STE A",
            "city": "FITZGERALD",
            "state": "GA",
            "postal_code": "317508858",
            "telephone_number": "229-409-0874",
            "fax_number": "229-424-7392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118 Norman Dorminy Dr",
            "address_purpose": "LOCATION",
            "city": "Fitzgerald",
            "state": "GA",
            "postal_code": "317508858",
            "country_code": "US",
            "telephone_number": "229-424-0134",
            "fax_number": "229-424-9383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "ANITA",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN102271 NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "554945714A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jane Ellen Reese
• Robert Vernon Reese, D.O.
• Brenda S Reeves, M.ED,CCC-SLP
• Tamekia Richardson
• Robert a Ludwick, M.D.PC
• Rural Urgent Care LLC
• Danny Sapp
• Tonya Michelle Schell
• James Benjamin Shiflett Jr., DPT
• Antonio R Sison, M.D.

• Nurse Practitioner in Fitzgerald, GA
• Providers in Fitzgerald, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.
• 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.