Mr Ross Jameson Clark, NP-C in Decatur, GA - Medicare Nurse Practitioner

Mr Ross Jameson Clark, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Decatur, Georgia. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Peachtree Immediate Care Fp, Llc and his current practice location is 2738 N Decatur Rd, Decatur, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 508-8058.

Mr Ross Jameson Clark is licensed to practice in Georgia (license number RN217210) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1790200087.

Contact Information

	Mr Ross Jameson Clark, NP-C
	2738 N Decatur Rd, Decatur, GA 30033-5910
	(404) 508-8058
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Ross Jameson Clark
Gender	Male
Speciality	Nurse Practitioner
Experience	7 Years
Location	2738 N Decatur Rd, Decatur, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Ross Jameson Clark graduated from nursing school in 2017

NPI Data:

NPI Number: 1790200087
Provider Enumeration Date: 08/08/2017
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 7810240207
Enrollment ID: I20181101001641

Medical Identifiers

Medical identifiers for Mr Ross Jameson Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790200087	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WX0800X	Registered Nurse - Orthopedic	RN217210 (Georgia)	Secondary
363LF0000X	Nurse Practitioner - Family	RN217210 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Peachtree Immediate Care Fp, Llc	3274559323	251

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. Mr Ross Jameson Clark allows following entities to bill medicare on his behalf.

Entity Name	Peachtree Immediate Care Fp, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437194156 PECOS PAC ID: 3274559323 Enrollment ID: O20051019000049

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. Mr Ross Jameson Clark 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 Address	Practice Location Address
Mr Ross Jameson Clark, NP-C 2738 N Decatur Rd, Decatur, GA 30033-5910 Ph: (404) 508-8058	Mr Ross Jameson Clark, NP-C 2738 N Decatur Rd, Decatur, GA 30033-5910 Ph: (404) 508-8058

Reviews and Comments

Nurse Practitioner Nurses in Decatur, GA

Antoinette Denise Gamble, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd., Decatur, GA 30033 Phone: 404-321-6111
Sophia P Georges, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1039 Highland Lake Cir, Decatur, GA 30033 Phone: 513-348-2926
Tammy Vardeman Aguilar, RN, NNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 W Ponce De Leon Ave, Suite #242, Decatur, GA 30030 Phone: 404-778-7622 Fax: 404-778-7645
Abdul Niazi, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 445 Winn Way, Decatur, GA 30030 Phone: 404-294-3745 Fax: 404-294-3710
Vivian S. Hayes, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd # 170c, Decatur, GA 30033 Phone: 404-321-6111 Fax: 404-235-3038
Jessica Willis, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2722 N Decatur Rd, Decatur, GA 30033 Phone: 678-467-7598
Ernest Leonard Gibson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2561 Captains Row, Decatur, GA 30035 Phone: 404-839-2886

Mr Ross Jameson Clark, NP-C - Medicare Nurse Practitioner in Decatur, GA