Jennifer Ross, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

006328 Issued in GA

Practice address

360 College St
Blakely, GA 39823-2554

Phone

(229) 723-2660

NPI assigned

Dec 21, 2011

Last updated

Dec 21, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Hospital Authority of Miller CountyGroup PAC ID 0244224947, shared by 11 NPIs, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Miller County Hospital Hospital, Colquitt, GA, CCN 111305

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.ross@gadirect.net
• Direct secure messaging: jennifer.ross@pcswga.gadirect.net

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.

• Primary Care of Southwest Georgia, Inc

  dba Primary Care of Southwest Georgia, Inc - HES

  • Federally Qualified Health Center (FQHC)
  • Thomasville, GA
  • NPI 1952196560
  NPD
• Primary Care of Southwest Georgia, Inc

  • Federally Qualified Health Center (FQHC)
  • Thomasville, GA
  • NPI 1992102073
  NPD
• Primary Care of Southwest Georgia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Blakely, GA
  • NPI 1780607754
  NPD

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

• The Hospital Authority of Miller County

  dba Miller County Hospital

  • Critical Access Hospital
  • Colquitt, GA
  • NPI 1114085297
  Care Compare affiliation

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324425600000",
    "number": "1851660815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 COLLEGE ST",
            "city": "BLAKELY",
            "state": "GA",
            "postal_code": "398232554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 COLLEGE ST",
            "city": "BLAKELY",
            "state": "GA",
            "postal_code": "398232554",
            "telephone_number": "229-723-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "JENNIFER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-21",
        "last_updated": "2011-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "006328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primary Care of Southwest Georgia, Inc.
• Queen City Home Medical, LLC
• Tina G. Rackley, SLP
• Arthur Redding, RPH
• Daneisha Latrell Rogers, DNP, FNP-C
• Haley Rykard, LPC
• Leslie Leanne Sakow, LCSW
• Self Discovery Counseling and Consulting Inc
• Serenity Living of Blakely
• Mary Madeline Shattles, NP

• Physician Assistant in Blakely, GA
• Providers in Blakely, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; 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.

Verify at the official NPI Registry.