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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MARY ROSS
NPI 1396651204
Nurse Practitioner - Psychiatric/Mental Health in Evans, GA

Active since August 20, 2026
1202 TOWN PARK LN STE 300, EVANS, GA 30809(844) 669-0429 Get Directions Write a Review

NPPES record added: August 20, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mary Ross NPPES

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

MARY ROSS (NPI 1396651204) is an individual psychiatric/mental health provider in Evans, Georgia, licensed in Georgia (NP221505) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1396651204
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMARY ROSS
Location Address1202 TOWN PARK LN STE 300Evans, GA 30809-3477
Mailing Address3406 Grove Landing CirGrovetown, GA 30813-7014
Phone(844) 669-0429
Sole ProprietorYes
Enumeration DateAugust 20, 2026
NPPES CertifiedAugust 20, 2026
✔ NPI 1396651204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · NP221505
1202 TOWN PARK LN STE 300, Evans, GA 30809
Open in Google Maps ↗

Other Providers at the Same Location NPPES 18

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

CHARLES LAWSON BOST LPC
Marriage & Family Therapist
1202 TOWN PARK LN STE 300
EVANS, GA 30809
Columbia County (706) 210-8855
DR. KEITH WILSON EDMONDS LPC
Counselor (Professional)
1202 TOWN PARK LN STE 300
EVANS, GA 30809
Columbia County (706) 210-8855
MS. JANESE ADELLIS BROWN LCSW
Social Worker (Clinical)
1202 TOWN PARK LN STE 300
EVANS, GA 30809
Columbia County (706) 210-8855
LESLIE JOHNSON OWEN LPC
Counselor (Professional)
1202 TOWN PARK LN STE 300
EVANS, GA 30809
Columbia County (706) 210-8855
KATHY DEXTER PA-C
Physician Assistant
1202 TOWN PARK LN STE 300
EVANS, GA 30809
Columbia County (706) 210-8855
SHAUNA LYNNE KENNEY LPC
Counselor (Professional)
1202 TOWN PARK LN STE 300
EVANS, GA 30809
Columbia County (706) 210-8855
ELLEN JESTER JENKINS LPC
Counselor (Professional)
1202 TOWN PARK LN STE 300
EVANS, GA 30809
Columbia County (706) 210-8855
MRS. MICHELLE OLIPHANT BURNS LPC
Counselor (Professional)
1202 TOWN PARK LN STE 300
EVANS, GA 30809
Columbia County (770) 389-8100

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 Mary Ross's NPI number?

The NPI number for Mary Ross is 1396651204. It was assigned to this individual provider in the NPPES registry on August 20, 2026.

Where is Mary Ross located?

Mary Ross practices at 1202 Town Park Ln Ste 300, Evans, GA 30809. The listed phone number is (844) 669-0429.

What is Mary Ross's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Mary Ross was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.