MRS. REBECCA CARROS AMBROSE (CNM) – Advanced Practice Midwife, NPI 1922291004

MRS. REBECCA CARROS AMBROSE (CNM) is a healthcare provider. based in Holly springs, Georgia. specializing in CERTIFIED NURSE MIDWIFE (CNM). They hold the professional credentials CNM. They hold a License No. RN112110 (GA). The NPI Number for MRS. REBECCA CARROS AMBROSE (CNM) is 1922291004

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
MRS. REBECCA CARROS AMBROSE (CNM)
NPI
1922291004
Phone
(770) 721-9660
Address
684 Sixes Rd Ste 220
Enumeration Date
22 August 2007
Last Update Date
18 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4043673210
Graduation Year
1997 (29 years ago)
PAC ID
6709212145
Group Practice PAC ID
9830082825
Professional Enrollment ID
I20200204001250
Address ID
GA303095219AT1984XNWXX402

Contacts

Secure Messaging
CBC@northside.gwaydirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness85
Years active:18State licenses:1Other namesUpdated within 12 months

182 CERTIFIED NURSE MIDWIFE (CNM) in GA

Provider Addresses for MRS. REBECCA CARROS AMBROSE (CNM)

  • 684 Sixes Rd Ste 220

    Holly Springs, GA 301158722

    Phone: (770) 721-9660

    Fax: (770) 721-9661

    Type: Location

  • 684 SIXES RD STE 220

    HOLLY SPRINGS, GA 301158722

    Phone: (770) 721-9660

    Fax: (770) 721-9661

    Type: Location

  • 1279 HIGHWAY 54 W STE 100

    FAYETTEVILLE, GA 302144551

    Phone: (770) 719-5710

    Type: Location

  • 702, Canton Road Northeast, Elizabeth, Marietta, Cobb, Georgia, 30060, United States

    MARIETTA, GA 30060

    Phone: (770) 428-4486

    Fax: (770) 425-6008

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $571.

Total Amount is formed as General ($571) + Research ($0) + Ownership ($0) = $571.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($240).

Total Amount

$571

General + Research + Ownership

Payments

27

Total payment records

General Amount

$571

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2020-02-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20200204001250ICertified Nurse Midwife (Cnm)GATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes302226$0
99204New patient office or other outpatient visit, 45-59 minutes3333$0
View full utilization report →

Insurance plans in this area (ZIP 30115)

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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: 9830082825View full group profile
NameSpecialtyState
General SurgeryGA
Nurse PractitionerGA
Critical Care (Intensivists), Pulmonary Disease, Sleep MedicineGA
-GA
Nurse PractitionerGA
-GA
General SurgeryGA
Surgical OncologyWA
R H E U M A T O L O G YGA
Pulmonary Disease, Critical Care (Intensivists), Internal Medicine, Pediatric MedicineGA

Reviews

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Frequently asked questions

What is the registry number for MRS. REBECCA CARROS AMBROSE (CNM)?
The registry entry for MRS. REBECCA CARROS AMBROSE (CNM) shows NPI 1922291004.
Should I treat MRS. REBECCA CARROS AMBROSE (CNM) as an active provider?
Patients and plans typically see MRS. REBECCA CARROS AMBROSE (CNM) as active in the national extract.
What type of care does MRS. REBECCA CARROS AMBROSE (CNM) provide?
MRS. REBECCA CARROS AMBROSE (CNM)'s profile centers on Advanced Practice Midwife. Clinical services aligned with this taxonomy classification.
Is MRS. REBECCA CARROS AMBROSE (CNM) tied to Holly Springs, Georgia?
If you are local to Holly Springs, Georgia, MRS. REBECCA CARROS AMBROSE (CNM) may be relevant to your search.
Who maintains MRS. REBECCA CARROS AMBROSE (CNM)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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