Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Jahid Kwaku Ross, NURSEPRACTITIONER

Individual provider Registered Nurse · NPI 1013590280

Mr. Jahid Kwaku Ross, NURSEPRACTITIONER is a Nurse Practitioner in Lawrenceville, Georgia. Qualified in 2023, 3 years ago. Practices with Southeastern Hospitalist Services PC, a 307-clinician group and accepts Medicare assignment. Licensed in California, Connecticut and North Carolina.

Years since qualifying
3
Licensed in
CA, CT, NC
In the registry since
2021
Specialties on file
5
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Practice location Address checks out

175 Gwinnett Dr
Lawrenceville, GA 30046-8444
Phone: (404) 209-2394
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95025461 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 95178036 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 10.173173 (CT)
Medical-Surgical Registered Nurse Taxonomy 163WM0705X · Licence 296511 (NC)
Child & Adolescent Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0807X · Licence 296511 (NC)

Record details

NPI number1013590280
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedMay 4, 2021
Last updated in NPPESJune 6, 2023
Certification dateApril 6, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Southeastern Hospitalist Services Pc — 307 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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