Individual provider Active NPI

Adrianne J Ross, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Conyers, GA
National Provider Identifier
1639478407
Registry record updated Mar 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD001201 Issued in GA
Practice address
1815 Highway 138 SE
Suite 600
Conyers, GA 30013-2079
Phone
(770) 922-8922
Fax
(770) 922-8956
NPI assigned
Mar 19, 2011
Last updated
Mar 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC006076 PA
Foot & Ankle Surgery Podiatrist 213ES0103X POD001201 GA Primary

Addresses

Primary practice location

1815 Highway 138 SE
Suite 600
Conyers, GA 30013-2079

Mailing address

470 E Pharr Rd
Decatur, GA 30030-4426
Phone (770) 922-8922

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121022000102 GA Practitioner - Podiatry 9234389651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1765 Parker Rd SE
Conyers, GA 30094-6670
Phone (770) 922-8922

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue32
Removal of skin lesions1-10
Removal of nail tissue88
Removal or shaving of skin growth13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD001201GAMDFoot & Ankle Surgery Podiatrist
SC006076PAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Institute of Georgia Foot & Ankle Surgery CurrentSince Mar 18, 2016 Accepting new patients
Allied Ankle & Footcare Centers PC Foot & Ankle Surgery Past Accepting new patients

Locations

1775 Parker Rd SE
Ste C240
Conyers, GA 30094
Phone (678) 609-6282

1815 Highway 138 SE
Ste 600
Conyers, GA 30013
Phone (770) 860-8333

Interoperability endpoints

  • Direct secure messaging: adrianne.ross.1@18361.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1300492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457654400000",
    "number": "1639478407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 E PHARR RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300304426",
            "telephone_number": "770-922-8922",
            "fax_number": "770-922-8956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 HIGHWAY 138 SE",
            "address_2": "SUITE 600",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132079",
            "telephone_number": "770-922-8922",
            "fax_number": "770-922-8956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "ADRIANNE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-19",
        "last_updated": "2016-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006076",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD001201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

Verify at the official NPI Registry.