| Dr William A J Alexander Jackson Ross Jr Jr, MD | |
|
33 Upper Riverdale Rd Sw Ste 112, Riverdale, GA 30274-2642 | |
| (770) 897-7874 | |
| Not Available |
| Full Name | Dr William A J Alexander Jackson Ross Jr Jr |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 32 Years |
| Location | 33 Upper Riverdale Rd Sw Ste 112, Riverdale, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245282037 | NPI | - | NPPES |
| 00839462E | Medicaid | GA | |
| 52433 | Other | KY | KY MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 52433 (Kentucky) | Primary |
| 207XX0004X | Orthopaedic Surgery - Foot And Ankle Surgery | 047650 (Georgia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southern Regional Medical Center | Riverdale, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Regional Physicians Management Group, Llc | 9032491956 | 22 |
| Entity Name | Southern Regional Physicians Management Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043677271 PECOS PAC ID: 9032491956 Enrollment ID: O20170127002483 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr William A J Alexander Jackson Ross Jr Jr, MD 1920 Niskey Lake Trl Sw, Atlanta, GA 30331-6326 Ph: (404) 344-9755 | Dr William A J Alexander Jackson Ross Jr Jr, MD 33 Upper Riverdale Rd Sw Ste 112, Riverdale, GA 30274-2642 Ph: (770) 897-7874 |
Dr. Robert Anthony Nelson, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 107 Upper Riverdale Rd Sw Ste A, Riverdale, GA 30274 Phone: 770-376-9333 | |
Dr. Gokarnesan Natarajan, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 528 Valley Hill Rd., Riverdale, GA 30274 Phone: 770-996-4436 | |
Timothy Noshi Ghattas, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 33 Upper Riverdale Rd Sw Ste 121, Riverdale, GA 30274 Phone: 404-323-4096 |