Whitney Lititia Ross, PA-C
Individual provider Active NPI Physician Assistant · Sale Creek, TN
NPI 1932449907 · NPPES record last updated Jun 11, 2019
Key facts
- NPI
- 1932449907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 2309 (TN)
- Practice address
- 14402 Dayton Pike Ste C
Sale Creek, TN 37373-7823 - Phone
- (423) 498-3560
- Fax
- (423) 498-3563
- NPI assigned
- Feb 27, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Crossroads Urgent Care PLLC
Practice addresses (Care Compare)
2445 Memorial Blvd
Suite C
Murfreesboro, TN 37129-5156
Phone (615) 217-6900
403 McBrien Rd
East Ridge, TN 37412-3223
Phone (423) 894-3589
419 N Market St
Suite 100
Chattanooga, TN 37405-3974
Phone (423) 414-3012
4490 Hixson Pike
Hixson, TN 37343-5038
Phone (423) 875-0700
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- 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 |
|---|---|---|---|---|
| I20161122000135 | TN | Practitioner - Physician Assistant | 6901185610 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2309 | TN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossroads Urgent Care PLLC | Physician Assistant | Current |
Accepting new patients |
| Crossroads Urgent Care PLLC | Physician Assistant | Current |
Accepting new patients |
| Pediatric Health Care, PC | Past | Accepting new patients |
Locations
403 McBrien Rd
East Ridge, TN 37412
Phone (423) 875-0700
4490 Hixson Pike
Hixson, TN 37343
Phone (423) 875-0700
2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900
30 Burton Hills Blvd
Ste 175
Nashville, TN 37215
Phone (615) 988-2014
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2309 | TN | Yes |
Addresses
Primary practice location
14402 Dayton Pike Ste C
Sale Creek, TN 37373-7823
Mailing address
14402 Dayton Pike Ste C
Sale Creek, TN 37373-7823
Phone (423) 498-3560
Other practice location 1
103 Jordan Dr Ste 3
Chattanooga, TN 37421-6715
Phone (423) 499-6400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1532076 | Medicaid | TN |
Other providers in Sale Creek, TN
- Tracey Jolene Jenkins
- Robert Lewis Kite
- Brook Janette Knight
- Ryan Danielle Miller
- Monyei Holdings Inc
- Sale Creek Family Practice, PLLC
- Sale Creek Pharmacy, Inc
- Sale Creek Primary Care, PLLC
- Jarrett Swafford
- Micayla Grace Thompson
All providers in Sale Creek, TN · Physician Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2019. 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.