Individual provider Active NPI

Rose Romulus

  • Family Nurse Practitioner
  • Austell, GA
National Provider Identifier
1770909236
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP183825 Issued in GA
Practice address
4439 Austell Rd
Austell, GA 30106-1839
Phone
(770) 675-7407
Fax
(770) 693-5922
NPI assigned
Mar 7, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN183825 GA
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X RN183825 GA
Family Nurse Practitioner 363LF0000X APRN-NP183825 GA Primary
General Practice Registered Nurse 163WG0000X RN183825 GA

Addresses

Primary practice location

4439 Austell Rd
Austell, GA 30106-1839

Mailing address

4439 Austell Rd
Austell, GA 30106-1839
Phone (770) 675-7407

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
I20150406001011 GA Practitioner - Nurse Practitioner 4486972320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4439 Austell Rd
Austell, GA 30106-1839
Phone (770) 675-7407

4940 Governors Dr
Suite 209
Forest Park, GA 30297-2186
Phone (678) 977-6919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN-NP183825GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Heart Hospice Care, LLC Current Accepting new patients
Romulus Primary Care Services LLC CurrentSince Jun 1, 2016 Accepting new patients
JJP Internal Medicine Group LLC Past Accepting new patients

Locations

4439 Austell Rd
Austell, GA 30106
Phone (770) 675-7407

4940 Governors Dr
Ste 209
Forest Park, GA 30297
Phone (404) 397-7029

Interoperability endpoints

  • Direct secure messaging: romulusprimarycareservices.roseromulus@147839.advancedmd-direct.com

Organizations & group practices 3

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": "1394150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1770909236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4439 AUSTELL RD",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061839",
            "telephone_number": "770-675-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4439 AUSTELL RD",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061839",
            "telephone_number": "770-675-7407",
            "fax_number": "770-693-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMULUS",
        "first_name": "ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-07",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN183825",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "GA",
            "license": "RN183825",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP183825",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "GA",
            "license": "RN183825",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austell, GA

Sources for this page

Verify at the official NPI Registry.