Rosemary Chickos, D.O.
Individual provider Active NPI Surgery Physician · Monroe, GA
NPI 1619152808 · NPPES record last updated Oct 3, 2024
Key facts
- NPI
- 1619152808
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 98468 (GA)
- Practice address
- 2151 W Spring St Ste B210
Monroe, GA 30655-3214 - Phone
- (770) 207-5738
- Fax
- (770) 266-7346
- NPI assigned
- Jan 7, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Piedmont Providers LLC
Practice addresses (Care Compare)
707 Pine St
Macon, GA 31201-2106
Phone (404) 209-9905
Hospital & facility affiliations
- Piedmont Walton Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN, GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200916002059 | TN | Practitioner - General Surgery | 6507012424 | Reassigns benefits to 1 organization |
| I20241216000849 | GA | Practitioner - General Surgery | 6507012424 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4138 | TN | MD | Professional Counselor |
| 98468 | GA | MD | Surgery Physician |
| DO4138 | TN | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Murphy Medical Center, Inc. | Current |
Accepting new patients | |
| Murphy Medical Center Inc | Current | Accepting new patients | |
| Murphy Medical Center, Inc. | Current |
Accepting new patients | |
| Piedmont Providers LLC | Current |
Accepting new patients | |
| Knoxville Hma Physician Management, LLC | Surgery | Current |
Accepting new patients |
| Piedmont Medical Care Corporation | Past |
Accepting new patients |
Locations
1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210
707 Pine St
Macon, GA 31201
Phone (478) 301-5800
2151 W Spring St
Ste B210
Monroe, GA 30655
Phone (770) 207-5738
2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792
3990 US Highway 64 E
Murphy, NC 28906
Phone (828) 837-5939
75 Medical Park Ln
Ste D
Murphy, NC 28906
Phone (828) 835-4741
145 Medical Park Ln
Ste L
Murphy, NC 28906
Phone (828) 349-3376
10810 Parkside Dr
Ste G-11
Knoxville, TN 37934
Phone (865) 218-6660
919 E Central Ave
Ste 201
La Follette, TN 37766
Phone (423) 563-5499
Interoperability endpoints
- https://api.platform.athenahealth.com/4694/brand/1/csg/1/fhir/r4
- rosemary.chickos.1@4694.direct.athenahealth.com
- rramoso396164@direct.novanthealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | DO4138 | TN | |
| Surgery Physician | 208600000X | 98468 | GA | Yes |
Addresses
Primary practice location
2151 W Spring St Ste B210
Monroe, GA 30655-3214
Mailing address
2151 W Spring St Ste B210
Monroe, GA 30655-3214
Phone (770) 207-5738
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q060302 | Medicaid | TN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rramoso396164@direct.novanthealth.org | ||
| Direct Messaging Address | rosemary.chickos.1@4694.direct.athenahealth.com |
Other providers in Monroe, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.