Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790102788 Individual Practitioner Female Practitioner

Dr. Katelyn Rossow , MD

Pediatrics - Developmental - Behavioral Pediatrics • Jackson, MS

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Katelyn Rossow, MD is a registered Pediatrics - Developmental - Behavioral Pediatrics practitioner in Jackson, MS. With approximately 12 years of clinical practice since graduating from University Of Louisville School Of Medicine in 2014, Dr. Rossow provides healthcare services at the registered practice location at 2500 N STATE ST.

Dr. Rossow does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

2500 N State St

Jackson, MS 392164500

Telephone 5025880850
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of Louisville School Of Medicine

Graduation Year

2014

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics - Developmental - Behavioral Pediatrics in Jackson, MS

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs -3.5 yrs vs City Avg
City Avg: 15.5 Yrs
State Avg: 15.5 Yrs
Regional Practice Density
7 Specialists

Practicing in Jackson, MS (9 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rossow (12 Years) 12 Yrs
Jackson Specialty Average (15.5 Years) 15.5 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-07-15
Pediatrics - Developmental - Behavioral Pediatrics Primary Specialty

NUCC Taxonomy Code: 2080P0006X

State License KY 55729

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License KY 55729

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License IN 01079254A

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics - Developmental - Behavioral Pediatrics

NUCC Taxonomy Code: 2080P0006X

State License IN 01079254A

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.

Pediatrics - Developmental - Behavioral Pediatrics

NUCC Taxonomy Code: 2080P0006X

State License TN 56397

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
7100660090 (KY)

Secondary Practice Locations

2200 Children's Way, Monroe Carell Jr. Children's Hospital At Vanderbilt

Nashville, TN 37232

Phone: 6153223000

3601 The Vanderbilt Clinic

Nashville, TN 372320001

Phone: 6153223000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

27 Associated Practitioners
Dr. Patricia Williams , MD

Pediatrics - Developmental - Behavioral Pediatrics

NPI 1003894908

Doctor of Medicine (M.D.)

Chase Beeman , GC

Genetic Counselor, MS

NPI 1073362794
Dr. Daniel Serber , PhD, MS

Genetic Counselor, MS

NPI 1104448927

Doctor of Philosophy (Ph.D.), Master of Science

Halley Stewart , GC

Genetic Counselor, MS

NPI 1114846987
Robin Weller , RD

Dietitian, Registered

NPI 1285172478

Registered Dietitian

Jennifer Delling

Occupational Therapist

NPI 1366894099

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

21 Historical Events
📍
Updated Practice Location July 15, 2025

Registered at 2500 N STATE ST, JACKSON, MS 392164500 (Tel: 5025880850)

📍
Updated Business Mailing Address July 15, 2025

Registered at 2500 N STATE ST, JACKSON, MS 392164500

📍
Updated Practice Location December 02, 2021

Registered at 411 E CHESTNUT ST, LOUISVILLE, KY 402021713 (Tel: 5025880850)

📍
Updated Business Mailing Address December 02, 2021

Registered at PO BOX 776879, CHICAGO, IL 606776879 (Tel: 5025889490)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2021

Pediatrics (License #55729 in KY)

📍
Updated Practice Location July 28, 2021

Registered at 3601 THE VANDERBILT CLINIC, NASHVILLE, TN 372320001 (Tel: 6153223000)

📍
Updated Business Mailing Address July 28, 2021

Registered at 719 THOMPSON LN STE 30330, NASHVILLE, TN 372044701

👤
Provider Name / Credentials Updated August 06, 2020

Recorded as KATELYN ROSSOW, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2020

Pediatrics (License #56397 in TN)

📍
Updated Practice Location May 01, 2019

Registered at 2200 CHILDREN'S WAY, MONROE CARELL JR. CHILDREN'S HOSPITAL AT VANDERBILT, NASHVILLE, TN 37232 (Tel: 6158751629)

NPI Profile Active July 08, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address July 08, 2017

Registered at 2200 CHILDREN'S WAY, MONROE CARELL JR. CHILDREN'S HOSPITAL AT VANDERBILT, NASHVILLE, TN 37232 (Tel: 6158751629)

📍
Updated Practice Location July 08, 2017

Registered at 2001 W 86TH STREET, DEPARTMENT OF MEDICAL EDUCATION, INDIANAPOLIS, IN 46260 (Tel: 3173382281)

👤
Provider Name / Credentials Updated July 08, 2017

Recorded as KATELYN NEELY, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2017

Student in an Organized Health Care Education/Training Program

NPI Profile Active March 27, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location March 27, 2014

Registered at 2001 W 86TH STREET, DEPARTMENT OF MEDICAL EDUCATION, INDIANAPOLIS, IN 46260 (Tel: 3173382281)

📍
Updated Business Mailing Address March 27, 2014

Registered at 2001 W 86TH STREET, DEPARTMENT OF MEDICAL EDUCATION, INDIANAPOLIS, IN 46260 (Tel: 3173382281)

👤
Provider Name / Credentials Updated March 27, 2014

Recorded as KATELYN NEELY, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2014

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 27, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790102788
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 27, 2014
Last Update: July 15, 2025
Sole Proprietor: No

Mailing Address

2500 N State St

Jackson, MS 392164500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.