MEDICARE: JANET L ROSS RN, FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	APRN-NP070037	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497749105
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANET L ROSS RN, FNP-C

Provider Business Mailing Address
First Line	:	1168 N. MAIN STREET
Second Line	:	SUITE 110
City	:	CEDARTOWN
State	:	GA
Zip	:	30125-2922
Country	:	US
Telephone Number	:	770-749-1005
Fax Number	:	770-749-1119

Provider Business Practice Location Address
First Line	:	265 EVANS DR
Second Line	:
City	:	BUCHANAN
State	:	GA
Zip	:	30113-3086
Country	:	US
Telephone Number	:	404-863-3221
Fax Number	:	732-307-6950

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2005
Last Update Date	:	10/10/2025

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