Individual provider Active NPI

Roger Charles Ernest, D.O.

  • Surgery Physician
  • Sanford, NC
National Provider Identifier
1124218169
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2007-01278 Issued in NC
Practice address
709 Wicker St Ste B
Sanford, NC 27330-4168
Phone
(919) 332-1919
NPI assigned
Jul 26, 2007
Last updated
Apr 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2007-01278 NC Primary

Addresses

Primary practice location

709 Wicker St Ste B
Sanford, NC 27330-4168

Mailing address

709 Wicker St Ste B
Sanford, NC 27330-4168
Phone (919) 775-3321

Other identifiers 3

IdentifierTypeStateIssuer
P00676235OtherNCRAILROAD MEDICARE
5907494MedicaidNC
1453HOtherNCBCBS

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071031000125 NC Practitioner - General Surgery 4688761174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Philadelphia College of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1125 Carthage St
Sanford, NC 27330-4162
Phone (919) 774-6023

1139 Carthage St
Sanford, NC 27330-4111

75 Old Graham Rd
Pittsboro, NC 27312-5655
Phone (919) 542-2731

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)15
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue13
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Central Carolina Medical Group LLC Current Accepting new patients
DLP Central Carolina Medical Group LLC Surgery CurrentSince May 1, 2017 Accepting new patients
DLP Central Carolina Medical Group LLC CurrentSince May 1, 2017 Accepting new patients
DLP Frye Medical Group LLC Past Accepting new patients
DLP Central Carolina Medical Group LLC Past Accepting new patients

Locations

75 Old Graham Rd
Pittsboro, NC 27312
Phone (919) 542-2731

1139 Carthage St
Ste 110B
Sanford, NC 27330
Phone (919) 775-3123

709 Wicker St
Ste B
Sanford, NC 27330
Phone (919) 774-1277

Interoperability endpoints

  • Direct secure messaging: roger.ernest.1@15593.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1124218169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 WICKER ST STE B",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304168",
            "telephone_number": "919-775-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 WICKER ST STE B",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304168",
            "telephone_number": "919-332-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERNEST",
        "first_name": "ROGER",
        "middle_name": "CHARLES",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2007-01278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00676235",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5907494",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1453H",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

Verify at the official NPI Registry.