Individual provider Active NPI

Steven Michael Rouse, PA-C

  • Medical Physician Assistant
  • Blairsville, GA
National Provider Identifier
1730132937
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
003584 Issued in GA
Practice address
214 Young Harris St Ste B
Blairsville, GA 30512-8534
Phone
(706) 400-2056
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 003584 GA Primary

Addresses

Primary practice location

214 Young Harris St Ste B
Blairsville, GA 30512-8534

Mailing address

63 Pleasant Hill Rd
Blairsville, GA 30512-2291
Phone (706) 745-2229

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061127000238 GA Practitioner - Physician Assistant 0345282687 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

214 Young Harris St
Suite B
Blairsville, GA 30512-8534
Phone (706) 400-9770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC CurrentSince Sep 22, 2020 Accepting new patients
High Mountain Health, PC Past Accepting new patients
Jack W Pennington MD LLC Past Accepting new patients
Vero Beach Surgery Center LLC Past Accepting new patients

Locations

63 Pleasant Hill Rd
Blairsville, GA 30512
Phone (706) 745-2229

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

Interoperability endpoints

  • Direct secure messaging: rouse.steven.002.0100025@hmh.meditab.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IBHGCA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1730132937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 PLEASANT HILL RD",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305122291",
            "telephone_number": "706-745-2229",
            "fax_number": "706-745-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 YOUNG HARRIS ST STE B",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305128534",
            "telephone_number": "706-400-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSE",
        "first_name": "STEVEN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "003584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blairsville, GA

Sources for this page

Verify at the official NPI Registry.