JACK R. ROSS MD
NPI 1497779714
Family Medicine in Columbus, GA

Q: What is Jack Ross's NPI number?

The NPI number for Jack Ross is 1497779714. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Q: What is Jack Ross's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Ross was last updated on May 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since July 27, 2006PECOS Enrolled

610 19TH ST, COLUMBUS, GA 31901(706) 322-7884(706) 660-2168 Get Directions Write a Review

NPPES record last updated: May 6, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jack R. Ross Md NPPES

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

JACK R. ROSS MD (NPI 1497779714) is an individual family medicine provider in Columbus, Georgia, licensed in Georgia (27302) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497779714

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJACK R. ROSSCredential: MD

Location Address610 19TH STColumbus, GA 31901-1528

Mailing AddressPo Box 9247Columbus, GA 31908-9247 · (706) 322-7884 · Fax (706) 660-2168

Phone(706) 322-7884

Fax(706) 660-2168

Sole ProprietorNo

Enumeration DateJuly 27, 2006

Last NPPES UpdateMay 6, 2015

✔ NPI 1497779714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in GA · 27302

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

610 19TH ST, Columbus, GA 31901

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Other Identifiers 6

Other202I081215GA · Medicare Ptan

Medicare UPIND41014GA

Medicaid000340469EGA

Other080031159GA · Rail Road Medicare

Medicaid00340469BGA

Medicare PIN08BDJCLGA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack R. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

3 suppliers15 claims90 services$21.47 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

4 suppliers19 claims19 services$58.39 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

4 suppliers12 claims12 services$17.95 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

5 suppliers16 claims16 services$14.80 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

5 suppliers19 claims114 services$2.26 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MRS. ANN MARIE BLAIR NP-C

Nurse Practitioner (Family)