Individual provider · Type 1 NPI

Cicely A. Ross, NP

Adult Health Nurse Practitioner · Stockbridge, GA

NPI number 1912424094 Active

Practice location

1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085

Mailing address

600 Celebrate Life Pkwy
Newnan, GA 30265-8001

Other practice locations

  • 633 Vista Ter, Stone Mountain, GA 30087-6056 · (770) 879-6305
  • 2302 Parklake Dr NE, Atlanta, GA 30345-2896 · (678) 937-1800

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XRN177619 (GA)
Adult Health Nurse Practitioner Primary 363LA2200XRN177619 (GA)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1912424094

Cicely A. Ross, NP's National Provider Identifier is 1912424094, issued on Aug 29, 2017. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Stockbridge, GA. The record was last updated on Sep 29, 2026.