ABIGAIL ROSS (PAC) – Physician Assistant, NPI 1356979652

ABIGAIL ROSS (PAC) is a healthcare provider. based in Suwanee, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. PA61476377 (WA). The NPI Number for ABIGAIL ROSS (PAC) is 1356979652

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
ABIGAIL ROSS (PAC)
NPI
1356979652
Phone
Not provided
Address
625 OLD PEACHTREE RD NW
Enumeration Date
31 March 2020
Last Update Date
13 August 2024

Doctor Profile

Medical School Name
PHILADELPHIA COL OF OSTEO MED, SEWANEE
Secondary Phone
5096638711
Graduation Year
2020 (6 years ago)
PAC ID
3476964248
Group Practice PAC ID
4880504596
Professional Enrollment ID
I20240905004210
Address ID
WA988025341EX100XXDRXX300

Contacts

FHIR Endpoint
https://epicoxy.et0764.epichosted.com/FHIRProxy/api/FHIR/Rpr4/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for ABIGAIL ROSS (PAC)

  • 625 OLD PEACHTREE RD NW

    SUWANEE, GA 300242937

    Phone:

    Type: Mailing

  • 820 N CHELAN AVE

    WENATCHEE, WA 988012028

    Phone: (509) 663-8711

    Type: Mailing

  • 100 HIGHLINE DR

    E WENATCHEE, WA 988025341

    Phone: (509) 662-1511

    Type: Location

  • PO BOX 751

    HULBERT, OK 744410751

    Phone: (918) 772-3390

    Fax: (918) 772-2244

    Type: Mailing

  • 1500 E DOWNING ST # 208

    TAHLEQUAH, OK 744643234

    Phone: (918) 456-2496

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-09-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201130001613IPhysician AssistantOKTBD
I20240905004210IPhysician AssistantWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza1313$0
View full utilization report →

Insurance plans in this area (ZIP 30024)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880504596View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineWA
Internal MedicineOR
-WA
Internal MedicineWA
O B S T E T R I C S/ G Y N E C O L O G YMT
-WA
Emergency MedicineWA
O B S T E T R I C S/ G Y N E C O L O G YWA
Diagnostic RadiologyOH
Physician AssistantWA

Reviews

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Frequently asked questions

Is there an official ID for ABIGAIL ROSS (PAC) in U.S. healthcare records?
The official identifier for ABIGAIL ROSS (PAC) is NPI 1356979652.
Is there an active status for ABIGAIL ROSS (PAC)?
For scheduling context, ABIGAIL ROSS (PAC) is shown as active in the registry.
What expertise is attributed to ABIGAIL ROSS (PAC)?
ABIGAIL ROSS (PAC)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Is ABIGAIL ROSS (PAC) associated with Suwanee?
Public fields place ABIGAIL ROSS (PAC) around Suwanee, Georgia. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for ABIGAIL ROSS (PAC) is noted as March 31, 2020 where the registry provides it.

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