Active NPI
Chadwick Gordon Rogers, PA-C
- Physician Assistant
- Charlotte, NC
National Provider Identifier
1023624251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-10725
- Practice address
- 3623 Latrobe Dr Ste 216
Charlotte, NC 28211-2117 - Phone
- (704) 332-1291
- NPI assigned
- Sep 22, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-10725 | NC | Primary |
| Emergency Medicine Physician | 207P00000X | 50.006657 | OH |
Addresses
Primary practice location
3623 Latrobe Dr Ste 216
Charlotte, NC 28211-2117
Mailing address
3623 Latrobe Dr Ste 216
Charlotte, NC 28211-2117
Phone (980) 208-1704
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rogerscg@iu.edu |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Indiana University School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1901 Randolph Rd
Charlotte, NC 28207-1101
Phone (704) 316-1400
200 Hawthorne LN
Charlotte, NC 28204-2515
Phone (704) 384-4056
3623 Latrobe Dr
Suite 216
Charlotte, NC 28211-2117
Phone (704) 332-1291
612 Mocksville Ave
Salisbury, NC 28144-2732
Phone (704) 210-5000
Hospital & facility affiliations
- Novant Health Presbyterian Medical Center
- Novant Health Rowan Medical Center
- Novant Health Huntersville Medical Center
- Novant Health Mint Hill Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.03 of 100
- Quality
- 98.89
- Improvement activities
- 40
- Cost
- 72.14
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50.006657 | OH | MD | Emergency Medicine Physician |
| 0010-10725 | NC | MD | Physician Assistant |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Charlotte, NC
- NPI 1295790657
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1972001469
-
- General Acute Care Hospital
- Salisbury, NC
- NPI 1508843566
-
- General Acute Care Hospital
- Huntersville, NC
- NPI 1346291309
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1396798591
Hospital
-
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1497708838
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1881647204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617235200000",
"number": "1023624251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3623 LATROBE DR STE 216",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282112117",
"telephone_number": "980-208-1704",
"fax_number": "704-926-1832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3623 LATROBE DR STE 216",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282112117",
"telephone_number": "704-332-1291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "CHADWICK",
"middle_name": "GORDON",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-22",
"last_updated": "2021-04-01",
"certification_date": "2021-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-10725",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "50.006657",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rogerscg@iu.edu",
"affiliation": "N",
"address_1": "6605 Rollymeade Ave",
"city": "Cincinnati",
"state": "OH",
"country_code": "US",
"postal_code": "452433019",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.