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CHARLES OWEN ROSS MD
NPI 1144077751
General Practice in Jacksonville, FL

Active since May 01, 2024PECOS Enrolled
2080 CHILD ST DEPT 5000, JACKSONVILLE, FL 32214(904) 542-7300 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 5, 2025, Jun 14, 2024, May 1, 2024 (3 updates tracked since 2024).

About Charles Owen Ross Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES OWEN ROSS MD (NPI 1144077751) is an individual general practice provider in Jacksonville, Florida, licensed in Alabama (51714) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144077751
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameCHARLES OWEN ROSSCredential: MD
Location Address2080 CHILD ST DEPT 5000Jacksonville, FL 32214-5000
Mailing Address2080 Child StJacksonville, FL 32214-5005
Phone(904) 542-7300
Sole ProprietorNo
Enumeration DateMay 1, 2024
Last NPPES UpdateSeptember 5, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2025
✔ NPI 1144077751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in AL · 51714
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2080 CHILD ST DEPT 5000, Jacksonville, FL 32214
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles Owen Ross Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELLE ALICIA COY DNP
Nurse Anesthetist, Certified Registered
2080 CHILD ST DEPT 5000
JACKSONVILLE, FL 32214
Duval County (904) 542-7300
VAHIDEH YOUSEFI DE60505442
Dentist (General Practice)
2080 CHILD ST DEPT 5000
JACKSONVILLE, FL 32214
Duval County (904) 546-7130
ISABELLA A FREGOSO RPH, PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2080 CHILD ST DEPT 5000
JACKSONVILLE, FL 32214
Duval County (904) 542-7300
BRADLEY RANDALL WINTERS
Military Health Care Provider
2080 CHILD ST DEPT 5000
JACKSONVILLE, FL 32214
Duval County (904) 542-7300
JAKE MICHAEL ROUSE DO
Military Health Care Provider
2080 CHILD ST DEPT 5000
JACKSONVILLE, FL 32214
Duval County (904) 610-5253
ESTHER ALAKIJA DO
Military Health Care Provider
2080 CHILD ST DEPT 5000
JACKSONVILLE, FL 32214
Duval County (904) 542-7300
DR. NICHOLAS NATHAN SWEET D.O.
Radiology (Diagnostic Radiology)
2080 CHILD ST DEPT 5000
JACKSONVILLE, FL 32214
Duval County (904) 542-7744
AARON B. SUMNER MD, JD, LT USN MC
General Practice
2080 CHILD ST DEPT 5000
JACKSONVILLE, FL 32214
Duval County (904) 542-7300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Ross's NPI number?

The NPI number for Charles Ross is 1144077751. It was assigned to this individual provider in the NPPES registry on May 1, 2024.

Where is Charles Ross located?

Charles Ross practices at 2080 Child St Dept 5000, Jacksonville, FL 32214. The listed phone number is (904) 542-7300.

What is Charles Ross's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Charles Ross enrolled in Medicare?

Yes. Charles Ross is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charles Ross was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.