Individual provider Active NPI

Charlene Rogers, RN

  • Registered Nurse
  • Warner Robins, GA
National Provider Identifier
1093368102
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN278926 Issued in GA
Practice address
1906 Elberta Rd Ste C
Warner Robins, GA 31093-1391
Phone
(478) 225-6404
Fax
(478) 225-6404
NPI assigned
Jul 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN278926 GA Primary

Addresses

Primary practice location

1906 Elberta Rd Ste C
Warner Robins, GA 31093-1391

Mailing address

1906 Elberta Rd Ste C
Warner Robins, GA 31093-1391
Phone (478) 225-6404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN278926GAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
CMP Impact Therapeutic Services CurrentSince Jul 25, 2019 Accepting new patients

Locations

1906 Elberta Rd
Ste C
Warner Robins, GA 31093
Phone (478) 225-6404

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.

NPI Registry JSON

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1093368102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 ELBERTA RD STE C",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310931391",
            "telephone_number": "478-225-6404",
            "fax_number": "478-225-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 ELBERTA RD STE C",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310931391",
            "telephone_number": "478-225-6404",
            "fax_number": "478-225-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "CHARLENE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN278926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.