Individual provider Active NPI

James Jason Rogers, NP

  • Nurse Practitioner
  • Wiggins, MS
National Provider Identifier
1033340690
Registry record updated Jul 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R874544 Issued in MS
Practice address
1434 Central Ave E
Wiggins, MS 39577-9602
Phone
(601) 928-6600
NPI assigned
Jul 30, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R874544 MS Primary

Addresses

Primary practice location

1434 Central Ave E
Wiggins, MS 39577-9602

Mailing address

6419 County Road 6
Silas, AL 36919-6492
Phone (251) 542-9014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20090917000498 MS Practitioner - Nurse Practitioner 3476609371 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wayne General HospitalGroup PAC ID 2668457581, 47 clinicians

Practice addresses (Care Compare)

950 Matthew Dr
Waynesboro, MS 39367-2567
Phone (601) 735-5151

Hospital & facility affiliations

  • Wayne General Hospital Hospital, Waynesboro, MS, CCN 250077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R874544MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne General Hospital CurrentSince Apr 7, 2012 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Aug 6, 2012 Accepting new patients
Wayne General Hospital CurrentSince Apr 7, 2012 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Aug 6, 2012 Accepting new patients
Independent Healthcare Management, Inc. CurrentSince Jul 30, 2014 Accepting new patients
State of Mississippi - University of Mississippi Medical Center Current Accepting new patients
Wayne General Hospital Current Accepting new patients
Independent Healthcare Management, Inc. CurrentSince Jul 30, 2014 Accepting new patients
Stone County Hospital, Inc Past Accepting new patients
Wayne General Hospsital Past Accepting new patients
Wayne General Hospital Past Accepting new patients

Locations

330 N Broad St
#S
Forest, MS 39074
Phone (601) 469-4151

239 Bowling Green Rd
Lexington, MS 39095
Phone (662) 834-1321

950 Matthew Dr
Waynesboro, MS 39367
Phone (601) 735-5151

940 Matthew Dr
Ste 5
Waynesboro, MS 39367
Phone (601) 735-7102

Organizations & group practices 11

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.

Hospital & facility affiliations 1

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": "1248912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248912000000",
    "number": "1033340690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6419 COUNTY ROAD 6",
            "city": "SILAS",
            "state": "AL",
            "postal_code": "369196492",
            "telephone_number": "251-542-9014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1434 CENTRAL AVE E",
            "city": "WIGGINS",
            "state": "MS",
            "postal_code": "395779602",
            "telephone_number": "601-928-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "JAMES",
        "middle_name": "JASON",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-30",
        "last_updated": "2009-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R874544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wiggins, MS

Sources for this page

Verify at the official NPI Registry.