Donna Lynn Ross, RN, CCM

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

RN116397 Issued in GA

Practice address

684 Pathwood LN
Stockbridge, GA 30281-7787

Phone

(770) 474-9086

NPI assigned

May 31, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Optimal Outcomes Healthcare Network

  • Case Management Agency
  • Stockbridge, GA
  • NPI 1770859597
  NPD (past) Authorized official

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306800000000",
    "number": "1962796680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "684 PATHWOOD LN",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817787",
            "telephone_number": "770-474-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "684 PATHWOOD LN",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817787",
            "telephone_number": "770-474-9086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "DONNA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "RN, CCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-31",
        "last_updated": "2011-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "GA",
            "license": "RN116397",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "GA",
            "license": "RN116397",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "GA",
            "license": "RN116397",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Devon Roots, (CSFA0 (CST)
• Nicole Lawrence Rosbeck, CN0030085465
• Steven Michael Rosenthal, MD
• Brook Lynn Ross, PA-C
• Cicely A Ross, NP
• Lela C Rowe
• Morgan Rowser
• Jauna D Royal, NP-C
• Sunnyboy Rue
• Daniela Rusu, M.D.

• Case Management Registered Nurse in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Case Management Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.