Active NPI
Chase Vaughn Grosse, PSY.D.
- Psychologist
- Rome, GA
National Provider Identifier
1780168526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 304 Shorter Ave NW Ste 201
Rome, GA 30165-4256 - Phone
- (810) 606-5126
- NPI assigned
- Sep 18, 2018
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
304 Shorter Ave NW Ste 201
Rome, GA 30165-4256
Mailing address
420 E 2ND Ave Ste 103
Rome, GA 30161-3210
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Mercer University School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
304 Shorter Nwave
Suite 201
Rome, GA 30165-4256
Phone (706) 509-3300
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.9 of 100
- Promoting interoperability
- 97
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Floyd Healthcare Management Inc | Current | Accepting new patients | |
| Floyd Healthcare Management Inc | Current | Accepting new patients |
Locations
1025 N Main St
Cedartown, GA 30125
Phone (770) 748-5212
304 Shorter Ave NW
Ste 201
Rome, GA 30165
Phone (706) 509-3300
420 E 2nd Ave
Ste 103
Rome, GA 30161
Phone (706) 509-3278
Organizations & group practices 2
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
- Rome, GA
- NPI 1689610149
-
- Specialty Pharmacy
- Rome, GA
- NPI 1548056468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621987200000",
"number": "1780168526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 E 2ND AVE STE 103",
"city": "ROME",
"state": "GA",
"postal_code": "301613210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 SHORTER AVE NW STE 201",
"city": "ROME",
"state": "GA",
"postal_code": "301654256",
"telephone_number": "810-606-5126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSSE",
"first_name": "CHASE",
"middle_name": "VAUGHN",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-18",
"last_updated": "2021-05-26",
"certification_date": "2021-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rome, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.