Individual provider Active NPI

Anita E Rogers, PA-C

  • Physician Assistant
  • Henderson, NC
National Provider Identifier
1003055575
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-01703 Issued in NC
Practice address
425B S Chestnut St
Henderson, NC 27536-4201
Phone
(252) 598-1059
Fax
(252) 598-0779
NPI assigned
Feb 6, 2009
Last updated
Oct 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-01703 NC Primary

Addresses

Primary practice location

425B S Chestnut St
Henderson, NC 27536-4201

Mailing address

425 S Chestnut St Ste B
Henderson, NC 27536-4201
Phone (252) 598-1059

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100728000898 NC Practitioner - Physician Assistant 4981737954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Brody School of Medicine at East Carolina University, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

425 B S Chestnut St
Henderson, NC 27536-4201
Phone (252) 598-1059

425 S Chestnut St
Suite B
Henderson, NC 27536-4201

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Karma Wellness & Aesthetics, PLLC Physician Assistant CurrentSince Apr 13, 2025 Accepting new patients
Louisburg Internal Medicine Past Accepting new patients

Locations

425 S Chestnut St
#B
Henderson, NC 27536
Phone (252) 598-1059

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CJDGCD/Endpoint/CJDGCD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1003055575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 S CHESTNUT ST STE B",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275364201",
            "telephone_number": "252-598-1059",
            "fax_number": "252-598-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425B S CHESTNUT ST",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275364201",
            "telephone_number": "252-598-1059",
            "fax_number": "252-598-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "ANITA",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-06",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-01703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NC

Sources for this page

Verify at the official NPI Registry.