Jeff L Rodgers DMD PC

A Medicare group practice based in Kennesaw, GA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 7012142128), with 2 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7012142128The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Oral Surgery - Dentist, Part B Supplier - Clinic/Group Practice
Enrolled in
GA
Enrollments
3
Group size
2 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
4In 2 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20131025001691 GA DME Supplier - Oral Surgery - Dentist 1518302165
O20201208000102 GA Part B Supplier - Clinic/Group Practice 1518302165
O20260415001674 GA DME Supplier - Oral Surgery - Dentist 1922982388

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 2

Clinicians who reassign their Medicare benefits to this group (2) or whom Care Compare lists as members (2).

Sources for this page