Active NPI
Michael J Rossi, M.D.
- Family Medicine Physician
- Fort Stewart, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 29479
- Practice address
- 1061 Harmon Ave
Suite 1D03
Fort Stewart, GA 31314-5641 - Phone
- (912) 435-6633
- NPI assigned
- Jan 2, 2007
- Last updated
- Mar 11, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 29479 | SC | Primary |
Addresses
Primary practice location
1061 Harmon Ave
Suite 1D03
Fort Stewart, GA 31314-5641
Mailing address
1061 Harmon Ave
Suite 1D03
Fort Stewart, GA 31314-5641
Phone (912) 435-6633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Medical University of South Carolina College of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11 Elliott Barker LN
Angel Fire, NM 87710-0133
Phone (575) 377-3301
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29479 | SC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Central Colfax County Hospital District | Current | Accepting new patients | |
| South Central Colfax County Special Hospital District | Current | Accepting new patients | |
| South Central Colfax County Special Hospital District | Past | Accepting new patients | |
| South Central Colfax County Special Hospital District | Past | Accepting new patients | |
| St. Andrews Urgent Care, PC | Past | Accepting new patients | |
| Taos Health Systems, Inc., Holy Cross Hospital | Past | Accepting new patients |
Locations
31039 Highway 64
Cimarron, NM 87714
Phone (575) 376-2402
31039 Highway 64
#B
Cimarron, NM 87714
Phone (575) 376-2402
Interoperability endpoints
- https://api.platform.athenahealth.com/3427/brand/1/csg/1/fhir/r4
- michael.rossi.1@3427.direct.athenahealth.com
Organizations & group practices 6
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.
-
dba Moreno Valley Healthcare Clinic
- Health Service Clinic/Center
- Angel Fire, NM
- NPI 1215163639
-
dba Cimarron Healthcare Clinic
- Health Service Clinic/Center
- Cimarron, NM
- NPI 1124254545
-
dba Colfax General LTC
- Nursing Facility/Intermediate Care Facility
- Springer, NM
- NPI 1073749487
-
dba Moreno Valley Urgent Care @ Angel Fire Resort
- Urgent Care Clinic/Center
- Angel Fire, NM
- NPI 1487470977
-
dba Doctors Express
- Urgent Care Clinic/Center
- Charleston, SC
- NPI 1831416346
-
- Critical Access Hospital
- Taos, NM
- NPI 1902338049
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Holy Cross Hospital
- General Acute Care Hospital
- Taos, NM
- NPI 1194751958
-
- Critical Access Hospital
- Taos, NM
- NPI 1902338049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362960000000",
"number": "1679630388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1061 HARMON AVE",
"address_2": "SUITE 1D03",
"city": "FORT STEWART",
"state": "GA",
"postal_code": "313145641",
"telephone_number": "912-435-6633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1061 HARMON AVE",
"address_2": "SUITE 1D03",
"city": "FORT STEWART",
"state": "GA",
"postal_code": "313145641",
"telephone_number": "912-435-6633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSSI",
"first_name": "MICHAEL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2013-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "29479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Stewart, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.