Active NPI
Tamika D Rosser, NP
- Nurse Practitioner
- Hiram, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN191322
- Practice address
- 176 Charles Hardy Pkwy Unit C
Hiram, GA 30141-1836 - Phone
- (678) 945-8200
- Fax
- (678) 945-8209
- NPI assigned
- Jul 11, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN191322 | GA | Primary |
Addresses
Primary practice location
176 Charles Hardy Pkwy Unit C
Hiram, GA 30141-1836
Mailing address
176 Charles Hardy Pkwy Unit C
Hiram, GA 30141-1836
Phone (678) 945-8200
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: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
176 Charles Hardy Pkwy C
Hiram, GA 30141-1836
Phone (678) 945-8200
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Bortolazzo Group, LLC | Current | Accepting new patients | |
| The Emory Clinic Inc | Current | Accepting new patients | |
| MC Medical LLC | Nurse Practitioner | Current | Accepting new patients |
| Wellstar Medical Group, LLC | Current | Accepting new patients |
Locations
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752
3615 Charles Hardy Pkwy
Ste 200
Dallas, GA 30157
Phone (770) 767-5542
8954 Hospital Dr
Douglasville, GA 30134
Phone (678) 838-2584
1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
5665 New Northside Dr
Ste 320
Sandy Springs, GA 30328
Phone (770) 874-5468
3576 Highway 138 SE
Stockbridge, GA 30281
Phone (770) 474-7448
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Emergency Medicine Physician
- Austell, GA
- NPI 1801965082
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1396798229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734393600000",
"number": "1689015257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "176 CHARLES HARDY PKWY UNIT C",
"city": "HIRAM",
"state": "GA",
"postal_code": "301411836",
"telephone_number": "678-945-8200",
"fax_number": "678-945-8209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176 CHARLES HARDY PKWY UNIT C",
"city": "HIRAM",
"state": "GA",
"postal_code": "301411836",
"telephone_number": "678-945-8200",
"fax_number": "678-945-8209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSSER",
"first_name": "TAMIKA",
"middle_name": "D",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-11",
"last_updated": "2024-12-17",
"certification_date": "2024-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN191322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hiram, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.