MRS. AUDREY DENISE ROSS (NPI# 1972737633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972737633 |
| Entity Type | Individual |
| Full Name | MRS. AUDREY DENISE ROSS |
| Practice Address |
5760 Jones Mill Rd Woodbury GA 30293-2101 |
| Practice Telephone | 9044221562 |
| Mailing Telephone | 9044221562 |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2009-05-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780248922 | Audrey Ross | Nurse Practitioner | 593 Eddy St, Providence, RI 02903-4923 | 2019-04-23 |
| 1457888364 | Audrey Kay Ross | Case Manager/Care Coordinator | 4253 N Crossover Rd, Fayetteville, AR 72703-4593 | 2017-05-23 |
| Street Address |
5760 JONES MILL RD |
| City | WOODBURY |
| State | GA |
| Zip Code | 30293-2101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750593430 | Southwest Medical Clinic, Inc | Internal Medicine | 64 Jones Mill Road, Suite B Box 517, Woodbury, GA 30293 | 2007-05-04 |
| 1295705184 | Michael Wayne Akins | Pharmacist | 40 Forest Lane, Woodbury, GA 30293 | 2006-01-24 |
| 1205282209 | Hillary Vickery | Speech-Language Pathologist | 356 Covered Bridge Rd, Woodbury, GA 30293-2348 | 2016-05-09 |
| 1538635255 | Timothy Peter Daniel | Nurse Practitioner | 64a Jones Mill Rd, Woodbury, GA 30293-2678 | 2018-10-20 |
| 1912564618 | Meriwether Healthcare, L.L.C. | Clinic/Center | 64a Jones Mill Rd, Woodbury, GA 30293-2678 | 2019-05-29 |
| 1881862944 | Merwiether Co Health Department | Public Health or Welfare | 18425 Main St, Woodbury, GA 30293-2933 | 2008-02-12 |
| 1710957014 | U-save-it Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 18126 Main St, Woodbury, GA 30293-2945 | 2006-01-26 |
| 1366900391 | Custom Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 410 Dromedary St, Woodbury, GA 30293-3560 | 2019-03-08 |
| 1790850592 | Michelle S Womble Custer | Nurse Anesthetist, Certified Registered | 65 Waddell Rd, Woodbury, GA 30293-4008 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143891 | Results-ast Jv, LLC | Physical Therapist | 324 Doolittle Road, Woodbury, TN 37190 | 2020-10-26 |
| 1841899150 | Sarah Nyandoro | Registered Nurse | 10635 Pond Curv, Woodbury, MN 55129-5810 | 2020-10-19 |
| 1538768916 | Shari Kohn | Psychologist | 20 Shadow Ln, Woodbury, NY 11797-2222 | 2020-10-18 |
| 1669079992 | Woodbury Surgery Center, LLC | Clinic/Center | 587 Bielenberg Dr Ste 100, Woodbury, MN 55125-4452 | 2020-10-09 |
| 1427655422 | Tara Tranguch | Naturopath | 74 Main Street North, Bldg 2 - Apt 204, Woodbury, CT 06798 | 2020-10-03 |
| 1780291245 | Meghan Kathleen Nilan | Dietitian, Registered | 7987 Drake Bay, Woodbury, MN 55125-1577 | 2020-09-29 |
| 1326655093 | Shane Michael Hamp | Social Worker | 1000 Radio Dr Ste 210, Woodbury, MN 55125-8444 | 2020-09-28 |
| 1578179727 | Natasha Ann Keller | Marriage & Family Therapist | 1802 Wooddale Dr Ste 101, Woodbury, MN 55125-2993 | 2020-09-22 |
| 1528674819 | Flourishing Roots Therapy LLC | Social Worker | 51 Sherman Hill Rd, Building A, Suite 202, Woodbury, CT 06798-0679 | 2020-09-22 |
| 1457967895 | Lisa Eisenbacher | Technician, Other | 731 Bielenberg Dr Ste 102-103, Woodbury, MN 55125-1700 | 2020-09-21 |
| Find all providers in WOODBURY | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144832452 | Laura Walker-talbot | Case Manager/Care Coordinator | 675 Washington Ave, Woodbury, NJ 08096-3544 | 2020-08-18 |
| 1235765470 | Angel Brown | Case Manager/Care Coordinator | 58 Euclid St, Woodbury, NJ 08096-4626 | 2020-03-19 |
| 1255819454 | Maria A Pappas | Case Manager/Care Coordinator | 8 Swenson Dr, Woodbury, NY 11797-1223 | 2018-07-31 |
| 1679089510 | Krystal Elaine Chavez | Case Manager/Care Coordinator | 8 Swenson Dr, Woodbury, NY 11797-1223 | 2017-12-14 |
| 1972986859 | Van Dautruche | Case Manager/Care Coordinator | 57 Cooper St, Woodbury, NJ 08096-4650 | 2015-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780768 | Covenant Consulting and Practice Management Corp | Case Manager/Care Coordinator | 2900 Weatherstone Cir Se, Conyers, GA 30094-2021 | 2020-11-05 |
| 1194325779 | Stephanie A Jones | Case Manager/Care Coordinator | 517 Fall Creek Ct, Mcdonough, GA 30253-9245 | 2020-10-31 |
| 1952918484 | Andrea Y Daniel | Case Manager/Care Coordinator | 6040 Walters Loop, Columbus, GA 31907-5368 | 2020-09-29 |
| 1730796772 | Abbigail J Boyd | Case Manager/Care Coordinator | 538 Hunterdale Rd, Evans, GA 30809-3630 | 2020-09-24 |
| 1326653890 | Chosen Care, Inc. | Case Manager/Care Coordinator | 5202 Forest Springs Dr, Atlanta, GA 30338-3506 | 2020-09-11 |
| 1689287112 | Nikki Crew | Case Manager/Care Coordinator | 200 Suddeth St, Winterville, GA 30683-1901 | 2020-08-25 |
| 1205448032 | Leona Ramsey Dorsey | Case Manager/Care Coordinator | 19 Shearwater Dr, Fortson, GA 31808-5316 | 2020-08-22 |
| 1467064428 | Kayla M Sims | Case Manager/Care Coordinator | 6475 Calamar Dr, Cumming, GA 30040-7645 | 2020-08-20 |
| 1821600990 | Johnelle Chambers | Case Manager/Care Coordinator | 4045 S Shelby Ln, Douglasville, GA 30135-4141 | 2020-08-20 |
| 1801408919 | April Scott | Case Manager/Care Coordinator | 267 Roberts Rd, Barnesville, GA 30204-3367 | 2020-08-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.