NPIMap

Individual provider Active NPI

Jerry Ambrosia, MD

  • Orthopaedic Surgery Physician
  • Columbus, GA
National Provider Identifier
1831419191
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
074247 Issued in GA
Practice address
2300 Manchester Expy
Ste 101a
Columbus, GA 31904-6802
Phone
(706) 322-6646
Fax
(706) 322-2891
NPI assigned
Jun 9, 2010
Last updated
Jul 10, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Orthopaedic Surgery Physician 207X00000X 074247 GA Primary

Addresses

Primary practice location

2300 Manchester Expy
Ste 101a
Columbus, GA 31904-6802

Mailing address

PO Box 7217
Columbus, GA 31908-7217
Phone (706) 322-6646

Other identifiers 1

IdentifierTypeStateIssuer
003161557AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170130001437 AL Practitioner - Orthopedic Surgery 9133368749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
East Tennessee State University Quillen College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orthosports Associates LLCGroup PAC ID 3173707171, 36 clinicians

Practice addresses (Care Compare)

48 Medical Park E Dr
Suite 255
Birmingham, AL 35235-3464
Phone (205) 838-3090

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.68 of 100Reported as group
Improvement activities
40
Cost
69.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement14
Knee replacement31
Lower limb (leg) arthroscopy (minimally invasive joint repair)16
Upper limb (arm) arthroscopy (minimally invasive joint repair)34
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
074247GAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthosports Associates LLC Orthopaedic Surgery CurrentSince Jan 1, 2021 Accepting new patients
Orthosports Associates LLC Orthopaedic Surgery CurrentSince Jan 1, 2021 Accepting new patients
Jason D. Cobb, MD, LLC Orthopaedic Surgery Past Accepting new patients

Locations

48 Medical Park Dr E
Ste 255
Birmingham, AL 35235

52 Medical Park Dr E
Ste 220
Birmingham, AL 35235
Phone (205) 267-5158

833 Saint Vincents Dr
Ste 403
Birmingham, AL 35205
Phone (205) 939-0047

70 Plaza Dr
Pell City, AL 35125
Phone (205) 814-9284

7063 Veterans Pkwy
Pell City, AL 35125
Phone (205) 338-3301

5850 Valley Rd
Ste 110
Trussville, AL 35235

Interoperability endpoints

  • Direct secure messaging: jerome.ambrosia.orthosportsassoc@osa.direct.systemedx.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436486400000",
    "number": "1831419191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7217",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319087217",
            "telephone_number": "706-322-6646",
            "fax_number": "706-322-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 MANCHESTER EXPY",
            "address_2": "STE 101A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046802",
            "telephone_number": "706-322-6646",
            "fax_number": "706-322-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBROSIA",
        "first_name": "JERRY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-09",
        "last_updated": "2015-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "074247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003161557A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.