Ray Thomas Ross Jr., M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

043118 GA Issued in GA

Practice address

199 Mountain Dr
Suite 202
Dahlonega, GA 30533-1607

Phone

(706) 864-7272

Fax

(706) 864-7080

NPI assigned

Oct 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ray.ross@hca5.eclinicaldirectplus.com

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.

• Mayo Clinic Health System in Waycross, Inc.

  • Multi-Specialty Clinic/Center
  • Waycross, GA
  • NPI 1154745982
  Medicare reassignment NPD
• Southland Emergency Medical Services Consolidated, LLC

  • Hospitalist Physician
  • Cochran, GA
  • NPI 1033464391
  Medicare reassignment NPD
• Integrated Regional Laboratories Pathology Services, LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Atlantis, FL
  • NPI 1942526298
  NPD
• Harris Regional Hospital Inc.

  • Surgery Physician
  • Sylva, NC
  • NPI 1780868406
  NPD (past)
• Mountain Surgical Associates

  • Surgery Physician
  • Sylva, NC
  • NPI 1942291802
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508940651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 MOUNTAIN DR",
            "address_2": "SUITE 202",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305331607",
            "telephone_number": "706-864-7272",
            "fax_number": "706-864-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 MOUNTAIN DR",
            "address_2": "SUITE 202",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305331607",
            "telephone_number": "706-864-7272",
            "fax_number": "706-864-7080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "RAY",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "043118 GA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P0061193",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "52876062003",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "325964",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10050810",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashlynn Rivers, LPC
• Ashley Bagwell Robinson, LPC
• Joseph Manuel Robinson, LPC
• Cynthia Rachel Rojas, CPM
• Sherry Sturrock Romaine, PT
• Bethany Renee Sanders, RN
• Jeffrey Wade Schermerhorn, MD
• Kimberly Kay Schlom
• Leanna Scoggin
• Shelley Jo Sears, PA

• Surgery Physician in Dahlonega, GA
• Providers in Dahlonega, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.