Cicely A Ross, NP - Medicare Nurse Practitioner in Stockbridge, GA

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Cicely A Ross, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Stockbridge, Georgia. Her current practice location is 1133 Eagles Landing Pkwy, Stockbridge, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 604-1053.

Cicely A Ross is licensed to practice in Georgia (license number RN177619) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1912424094.

Contact Information

Cicely A Ross, NP
1133 Eagles Landing Pkwy,
Stockbridge, GA 30281-5085
(678) 604-1053
Not Available

Map and Direction




Provider's Profile

Full NameCicely A Ross
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location1133 Eagles Landing Pkwy, Stockbridge, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1912424094
  • Provider Enumeration Date: 08/29/2017
  • Last Update Date: 03/31/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2961760137
  • Enrollment ID: I20171215001245

Medical Identifiers

Medical identifiers for Cicely A Ross such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912424094NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner RN177619 (Georgia)Secondary
363LA2200XNurse Practitioner - Adult Health RN177619 (Georgia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Cicely A Ross allows following entities to bill medicare on her behalf.
Entity NameEagles Landing Diabetes And Endocrinology
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376725978
PECOS PAC ID: 5496788705
Enrollment ID: O20050916000580
Entity NameAtlanta Medical Clinic L L C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891018016
PECOS PAC ID: 4880724285
Enrollment ID: O20100611000008
Entity NameCtca Physicians Group Of Georgia, Llc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447520333
PECOS PAC ID: 4880841212
Enrollment ID: O20120820001117
Entity NamePiedmont Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700474244
PECOS PAC ID: 2163837972
Enrollment ID: O20210208002823

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Cicely A Ross is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Cicely A Ross, NP
600 Celebrate Life Pkwy,
Newnan, GA 30265-8001

Ph: (770) 400-6296		Cicely A Ross, NP
1133 Eagles Landing Pkwy,
Stockbridge, GA 30281-5085

Ph: (678) 604-1053

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.