Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

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: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 29, 2026, Mar 31, 2021, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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
Sole ProprietorNo
Enumeration DateAugust 29, 2017
Last NPPES UpdateSeptember 29, 20264 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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Cicely Ross reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
1133 EAGLES LANDING PKWY
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 713 clinicians in this Medicare group
Specialist
550 EAGLES LANDING PKWY STE 110
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 5 clinicians in this Medicare group
Durable Medical Equipment & Medical Supplies
197 14TH ST NW STE 300
Atlanta, GA 30318
  • Reassigned Medicare billing, Georgia enrollment
  • 12 clinicians in this Medicare group
Internal Medicine
600 CELEBRATE LIFE PARKWAY
Newnan, GA 30265
  • Reassigned Medicare billing, Georgia enrollment
  • 448 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Emergency Medicine
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Internal Medicine
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Obstetrics & Gynecology
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Nurse Practitioner (Family)
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Registered Nurse (Administrator)
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Nurse Anesthetist, Certified Registered
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Hospitalist
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Emergency Medicine
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281

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 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.

Where is Cicely Ross located?

Cicely Ross practices at 1133 Eagles Landing Pkwy, Stockbridge, GA 30281. The listed phone number is (678) 604-1053.

What is Cicely Ross's specialty?

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

Is Cicely Ross enrolled in Medicare?

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

Which organizations bill Medicare for Cicely Ross's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cicely Ross reassigns Medicare benefits to 4 organizations: Piedmont Anesthesia LLC (Stockbridge, GA), Eagles Landing Diabetes And Endocrinology (Stockbridge, GA), Atlanta Medical Clinic L L C (Atlanta, GA) and City Of Hope Medical Group Of Georgia LLC (Newnan, GA). 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 Cicely Ross'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 Cicely Ross was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 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.