Active NPI
Jeremy Romine, PA
- Physician Assistant
- Ringgold, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.9686
- Practice address
- 7566 Nashville St
Ringgold, GA 30736-2361 - Phone
- (706) 935-3600
- NPI assigned
- Mar 14, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.9686 | GA | Primary |
Addresses
Primary practice location
7566 Nashville St
Ringgold, GA 30736-2361
Mailing address
601 S Harbour Island Blvd Ste 200
Tampa, FL 33602-5925
Phone (800) 480-5243
Other practice location 1
3257 Chattanooga Vly Rd
Flintstone, GA 30725-2387
Phone (706) 841-7800
Other practice location 2
106 Pearl Dr
LA Fayette, GA 30728-7509
Phone (706) 620-0200
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6553 Hwy 41
Ringgold, GA 30736-2641
Phone (706) 965-6000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.9686 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gordon Emergency Physicians, LLC | Current | Accepting new patients |
Locations
1035 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 602-7800
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Nurse Practitioner
- Ringgold, GA
- NPI 1629873492
-
- Emergency Medicine Physician
- Calhoun, GA
- NPI 1205290467
-
- Emergency Medicine Physician
- Chatsworth, GA
- NPI 1043783970
-
- Primary Care Clinic/Center
- Valdosta, GA
- NPI 1396527321
-
- Family Medicine Physician
- Ringgold, GA
- NPI 1265895916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692748800000",
"number": "1457626111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 S HARBOUR ISLAND BLVD STE 200",
"city": "TAMPA",
"state": "FL",
"postal_code": "336025925",
"telephone_number": "800-480-5243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7566 NASHVILLE ST",
"city": "RINGGOLD",
"state": "GA",
"postal_code": "307362361",
"telephone_number": "706-935-3600"
}
],
"practiceLocations": [
{
"address_1": "3257 Chattanooga Vly Rd",
"address_purpose": "LOCATION",
"city": "Flintstone",
"state": "GA",
"postal_code": "307252387",
"country_code": "US",
"telephone_number": "706-841-7800",
"fax_number": "706-841-7700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "106 Pearl Dr",
"address_purpose": "LOCATION",
"city": "LA Fayette",
"state": "GA",
"postal_code": "307287509",
"country_code": "US",
"telephone_number": "706-620-0200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROMINE",
"first_name": "JEREMY",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-14",
"last_updated": "2023-08-23",
"certification_date": "2023-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "PA.9686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ringgold, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.