Jeff L Rodgers, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

011381 Issued in GA

Practice address

1719 Mount Vernon Rd
Suite a
Dunwoody, GA 30338-4207

Phone

(770) 394-4310

Fax

(770) 392-0976

NPI assigned

Jan 4, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dentist

Education

University of Alabama School of Dentistry, 1995

Medicare assignment

May accept Medicare assignment

Group practices

Jeff L Rodgers DMD PCGroup PAC ID 7012142128, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jeff L. Rodgers, DMD, PC

  • Dentist
  • Dunwoody, GA
  • NPI 1518302165
  Medicare reassignment Care Compare group NPD Authorized official
• Jeff L. Rodgers, DMD, PC

  • Customized Equipment (DME)
  • Kennesaw, GA
  • NPI 1922982388
  NPD

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124175716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 MOUNT VERNON RD",
            "address_2": "SUITE A",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303384207",
            "telephone_number": "770-394-4310",
            "fax_number": "770-392-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 MOUNT VERNON RD",
            "address_2": "SUITE A",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303384207",
            "telephone_number": "770-394-4310",
            "fax_number": "770-392-0976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "JEFF",
        "middle_name": "L",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "011381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley Rigaud-Echols, M.D.
• Jonel Roberson
• Megan Roberson, LCSW
• Luke Robert, DMD
• Mary Cameron Elizabeth Robert, DMD
• Etienne Jose Rodriguez, M.D.
• Marian Rogers, CRNA
• Marie-Danielle Romain, NP
• Sita C Romero, LMT, CD, HCHI
• Zen B Rondowsky, O.D.

• General Practice Dentistry in Dunwoody, GA
• Providers in Dunwoody, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.