Individual provider Active NPI

Elizabeth Lockerman Rooney, PA-C

  • Medical Physician Assistant
  • Cartersville, GA
National Provider Identifier
1477572329
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
002400 Issued in GA
Practice address
15 Medical Drive NE Suite 101
Cartersville, GA 30121
Phone
(770) 386-5221
Fax
(770) 386-1128
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 002400 GA Primary

Addresses

Primary practice location

15 Medical Drive NE Suite 101
Cartersville, GA 30121

Mailing address

15 Medical Drive NE Suite 101
Cartersville, GA 30121
Phone (770) 386-5221

Other identifiers 2

IdentifierTypeStateIssuer
003107289DMedicaidGA
003107289AMedicaidGA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050421001146 GA Practitioner - Physician Assistant 8921046723 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.44 of 100Reported as group
Quality
66.55
Promoting interoperability
100
Improvement activities
40
Cost
84.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2400GAMDClinical Social Worker
594GAMDAcupuncturist
002400GAMDForensic Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Bone & Joint Surgeons, P.C, CurrentSince May 17, 2023 Accepting new patients

Locations

15 Medical Dr NE
Ste 101
Cartersville, GA 30121
Phone (770) 386-5221

Interoperability endpoints

  • Direct secure messaging: elizabeth.rooney.1@10056.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24010/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1477572329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MEDICAL DRIVE NE SUITE 101",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "30121",
            "telephone_number": "770-386-5221",
            "fax_number": "770-386-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MEDICAL DRIVE NE SUITE 101",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "30121",
            "telephone_number": "770-386-5221",
            "fax_number": "770-386-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROONEY",
        "first_name": "ELIZABETH",
        "middle_name": "LOCKERMAN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "002400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003107289D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003107289A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

Verify at the official NPI Registry.