Michele Lee Wiegmann-Ross, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN145899NP Issued in GA

Practice address

1115 Mount Zion Rd
Suite E
Morrow, GA 30260-2266

Phone

(770) 960-9999

Fax

(770) 960-0931

NPI assigned

Aug 10, 2007

Last updated

Jul 13, 2015By the provider in NPPES

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 names 1

• Mrs. Michele Lee Wiegmann-Ross Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: michele@pcforwellness.opdirect.net

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.

• Healthy Stages Pediatrics

  • Pediatric Nurse Practitioner
  • Morrow, GA
  • NPI 1821496241

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436745600000",
    "number": "1619169968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 MOUNT ZION RD",
            "address_2": "SUITE E",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302602266",
            "telephone_number": "770-960-9999",
            "fax_number": "770-960-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 MOUNT ZION RD",
            "address_2": "SUITE E",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302602266",
            "telephone_number": "770-960-9999",
            "fax_number": "770-960-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEGMANN-ROSS",
        "first_name": "MICHELE",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-10",
        "last_updated": "2015-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN145899NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "WIEGMANN-ROSS",
            "middle_name": "LEE",
            "prefix": "MRS.",
            "credential": "CPNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amber Elizabeth Were, DDS
• Jillian Whatley
• Colay Anquanette White, O.D.
• Duana White, LCSW
• Andre Whitehead, OD
• Angela Annette Williams
• Dawn Williams
• Jaquandra Williams
• Rhonda Williams
• Tikima Willis

• Pediatric Nurse Practitioner in Morrow, GA
• Providers in Morrow, GA by specialty
• Pediatric Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.