CICELY A ROSS NP
NPI 1912424094
Nurse Practitioner - Adult Health in Stockbridge, GA

Q: What is Cicely Ross's NPI number?

The NPI number for Cicely Ross is 1912424094. It was assigned to this individual provider in the NPPES registry on August 29, 2017. The provider is also known as Ms. Cicely A Ross Np-C.

Q: What is Cicely Ross's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Cicely Ross was last updated on March 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 August 29, 2017PECOS Enrolled

1133 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281(678) 604-1053 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 31, 2021, Mar 17, 2018, Aug 29, 2017 (3 updates tracked since 2017).

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About Cicely A Ross Np NPPES

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

CICELY A ROSS NP (NPI 1912424094) is an individual adult health provider in Stockbridge, Georgia, licensed in Georgia (RN177619) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1912424094

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameCICELY A ROSSCredential: NP

Location Address1133 EAGLES LANDING PKWYStockbridge, GA 30281-5085

Mailing Address600 Celebrate Life PkwyNewnan, GA 30265-8001 · (770) 400-6296

Phone(678) 604-1053

Sole ProprietorNo

Enumeration DateAugust 29, 2017

Last NPPES UpdateMarch 31, 20213 updates tracked since enumeration

NPPES CertifiedMarch 31, 2021

✔ NPI 1912424094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in GA · RN177619

Also ListedNurse PractitionerTaxonomy 363L00000X · License RN177619 (GA)

1133 EAGLES LANDING PKWY, Stockbridge, GA 30281

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Other Names 1

Professional Name (2)Ms. Cicely A Ross Np-c

Secondary Practice Locations 2

Location 1633 Vista TerStone Mountain, GA 30087-6056 · Phone (770) 879-6305

Location 22302 Parklake Dr NEAtlanta, GA 30345-2896 · Phone (678) 937-1800

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cicely A Ross Np 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 30281 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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.

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.

DR. BRIGITTE VANLE MD

Emergency Medicine