Devin Lee Ross, FNP
Individual provider Active NPI Nurse Practitioner · Donalsonville, GA
NPI 1881350262 · NPPES record last updated Nov 10, 2021
Key facts
- NPI
- 1881350262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- RN211929 (GA)
- Practice address
- 1200 Juree LN
Donalsonville, GA 39845-7241 - Phone
- (229) 254-0442
- NPI assigned
- Nov 10, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Christopher Dennis MD PLLC
Practice addresses (Care Compare)
11340 Lakefield Dr
Suite 200
Johns Creek, GA 30097-2456
Phone (888) 515-3834
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211229001966 | GA | Practitioner - Nurse Practitioner | 1658762612 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN211929 | GA | MD | Registered Nurse |
| RN211959 | GA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christopher Dennis MD PLLC | Current |
Accepting new patients |
Locations
1420 Milstead Rd NE
Conyers, GA 30012
Phone (770) 483-3902
11340 Lakefield Dr
Ste 200
Johns Creek, GA 30097
Phone (678) 407-2159
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN211929 | GA | |
| Nurse Practitioner | 363L00000X | RN211929 | GA | Yes |
Addresses
Primary practice location
1200 Juree LN
Donalsonville, GA 39845-7241
Mailing address
1200 Juree LN
Donalsonville, GA 39845-7241
Phone (229) 254-0442
Other providers in Donalsonville, GA
- Jana K Rego-Heins
- Roberts Pharmacy Inc
- Roberts Pharmacy Inc
- Tekoa Meshawn Rogers
- Ronald E Harrell DDS PC
- Scott and Mary Hartzog, LLC
- Seminole County Board of Education
- Seminole County Board of Health
- Seminole County Commisioner of Roads and Revenues
- Smith Counseling Clinic Inc
All providers in Donalsonville, GA · Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.