NPI age
17 years
Enumerated 2008-06-19
● Active
Type 1 · Individual
Rose M Roosevelt, RN
Roosevelt is 1 of 1 registered nurse providers in Stone Mountain and 1 of 75 in Georgia.
Primary specialty
Registered Nurse
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2008-06-19
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 75 active registered nurse providers in Georgia.
NPI age
17 years
↑ 10 yr above median (7 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
20% of peers hold subspecialties
NPI lifetime · 2008 → 2026
2008-06Enumerated in NPPES
2008
2026
Where they practice
Practice location
5878 Southland Dr
Stone Mountain, GA 300875281
Mailing address
5878 Southland Dr
Stone Mountain, GA 300875281
Specialties
-
Registered Nurse PrimaryDefinition to come...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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