Nicole Evans Ross, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

043038 Issued in GA

Practice address

2131 Pace St
Covington, GA 30014-6652

Phone

(678) 671-6228

Fax

(678) 935-3343

NPI assigned

Jul 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Anemonefish Inpatient Services LLC

  • Internal Medicine Physician
  • Covington, GA
  • NPI 1033514716
  Medicare reassignment NPD
• Jasper Health Services, Inc.

  dba Jasper Memorial Hospital

  • Critical Access Hospital
  • Monticello, GA
  • NPI 1225031750

  Internal Medicine

  Medicare reassignment NPD
• Piedmont Hospitalist Physicians LLC

  • Family Medicine Physician
  • Stockbridge, GA
  • NPI 1548219660

  Internal Medicine

  Medicare reassignment NPD
• Jasper Health Services Inc.

  dba Primary Care Center North

  • Critical Access Hospital Clinic/Center
  • Monticello, GA
  • NPI 1275314767
  NPD
• Alcovy Hospitalists, PC

  • Hospitalist Physician
  • Covington, GA
  • NPI 1386885879

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1740204171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1075",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300151075",
            "telephone_number": "678-671-6228",
            "fax_number": "678-935-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 PACE ST",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300146652",
            "telephone_number": "678-671-6228",
            "fax_number": "678-935-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "NICOLE",
        "middle_name": "EVANS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "043038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rolyn Behavioral Consulting Services LLC
• Brett Michael Rosenberg, MD
• David John Rosenfeld, M.D.
• Deanna Yolanda Ross, MD
• Lawanna Ross
• Aaron Rossi, D.C.
• Roswell Chiropractis Life Center (Back To Health Chiropractic)
• Kathy Rouse
• Diana Rowe
• Royal Cottage Inc

• Internal Medicine Physician in Covington, GA
• Providers in Covington, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.