ELIZABETH DIANE ROSE M.D.
NPI 1457704033
Surgery in Fort Gordon, GA
About Elizabeth Diane Rose M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIZABETH DIANE ROSE M.D. (NPI 1457704033) is an individual surgery provider in Fort Gordon, Georgia, licensed in South Carolina (89605) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and is a graduate of Medical University Of South Carolina College Of Medicine (2016).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Elizabeth Diane Rose M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Elizabeth Rose reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Spartanburg, SC 29307
- Reassigned Medicare billing, South Carolina enrollment
- 45 clinicians in this Medicare group
Valencia, CA 91355
- Reassigned Medicare billing, Washington enrollment
- 7 clinicians in this Medicare group
Snohomish, WA 98290
- Reassigned Medicare billing, Washington enrollment
- 5 clinicians in this Medicare group
Lacey, WA 98516
- Reassigned Medicare billing, Washington enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30905 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
FORT GORDON, GA 30905
FORT EISENHOWER, GA 30905
FORT GORDON, GA 30905
FORT GORDON, GA 30905
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 Elizabeth Rose's NPI number?
The NPI number for Elizabeth Rose is 1457704033. It was assigned to this individual provider in the NPPES registry on July 19, 2016.
Where is Elizabeth Rose located?
Elizabeth Rose practices at 300 East Hospital Road, Fort Gordon, GA 30905. The listed phone number is (706) 787-2567.
What is Elizabeth Rose's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Elizabeth Rose enrolled in Medicare?
Yes. Elizabeth Rose is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Elizabeth Rose's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Rose reassigns Medicare benefits to 4 organizations: Healogics Specialty Physicians Of South Carolina, LLC (Spartanburg, SC), Omni Wound Physicians PLLC (Valencia, CA), Excelled Healing LLC (Snohomish, WA) and Steel Rose Surgical & Wound Care PLLC (Lacey, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elizabeth Rose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Elizabeth Rose was last updated on September 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Elizabeth Diane Rose, M.D. · NPI 1457704033
Surgery physician in Fort Gordon, Georgia. Individual provider, active in the CMS NPPES registry since July 19, 2016.
## Identity
- **NPI:** 1457704033 (Entity type: Individual)
- **Enumerated:** July 19, 2016
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 89605 (South Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 300 EAST HOSPITAL ROAD, Fort Gordon, GA 30905-5650
- **Phone:** (706) 787-2567
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Healogics Specialty Physicians Of South Carolina, LLC (NPI 1023677945, Spartanburg, SC); Omni Wound Physicians PLLC (NPI 1023821055, Valencia, CA); Excelled Healing LLC (NPI 1013742964, Snohomish, WA); Steel Rose Surgical & Wound Care PLLC (NPI 1215863055, Lacey, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Medical University Of South Carolina College Of Medicine, class of 2016
## Record status
- **NPPES last updated:** September 18, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1457704033) · Data from the CMS NPPES public registry.