Organization Active NPI

Rogers Cain MD PA

  • Family Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1003299231
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME49968 Issued in FL
Legal business name
ROGERS CAIN MD PA
Practice address
9390 Lem Turner Rd
Jacksonville, FL 32208-2200
Phone
(904) 766-2953
Fax
(904) 766-2993
NPI assigned
Jul 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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

Authorized official

Name
Dr. Rogers Cain, MDNPI 1073551255
Title
Owner
Phone
(904) 766-2953

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME49968 FL Primary

Addresses

Primary practice location

9390 Lem Turner Rd
Jacksonville, FL 32208-2200

Mailing address

9390 Lem Turner Rd
Jacksonville, FL 32208-2200
Phone (904) 766-2953

Other identifiers 1

IdentifierTypeStateIssuer
049256600MedicaidFL

Other names 1

  • Lem Turner Family Medical Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151103000512 FL Part B Supplier - Clinic/Group Practice 2961712039 Receives reassigned benefits from 3 practitioners
Practice locations: Jacksonville, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1005454Rogers Cain MD PA9390 Lem Turner Rd Ste 1, Jacksonville, FL 32208Certificate of waiverMar 10, 2028

National Provider Directory

National Provider Directory

Locations

9390 Lem Turner Rd
Jacksonville, FL 32208
Phone (904) 766-2992

9390 Lem Turner Rd
#1
Jacksonville, FL 32208

9390 Lem Turner Rd
Ste 1
Jacksonville, FL 32208
Phone (904) 766-2992

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1003299231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9390 LEM TURNER RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322082200",
            "telephone_number": "904-766-2953",
            "fax_number": "904-766-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9390 LEM TURNER RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322082200",
            "telephone_number": "904-766-2953",
            "fax_number": "904-766-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGERS CAIN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "CAIN",
        "authorized_official_first_name": "ROGERS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-766-2953",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME49968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "049256600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lem Turner Family Medical Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.