Active NPI
Kortney Rogers, CNM
- Advanced Practice Midwife
- Braselton, GA
National Provider Identifier
1124591912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- RN257176
- Practice address
- 1404 River PL Ste 303
Braselton, GA 30517-5600 - Phone
- (770) 848-9335
- NPI assigned
- Jan 4, 2019
- Reactivated
- Mar 20, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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.
-
- Obstetrics & Gynecology Physician
- Johns Creek, GA
- NPI 1669784252
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1457716516
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200707003195 | GA | Practitioner - Certified Nurse Midwife (CNM) | 8628491875 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN257176 | GA | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Georgia Physicians Group Inc | Current | Accepting new patients | |
| Modern Obstetrics and Gynecology of North Atlanta PC | Past | Accepting new patients | |
| North Perimeter Anesthesia LLC | Past | Accepting new patients |
Locations
1404 River Pl
Ste 303
Braselton, GA 30517
Phone (770) 848-3319
597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275
Interoperability endpoints
- krogers106495@nghs.gadirect.net
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | |||
| Advanced Practice Midwife | 367A00000X | RN257176 | GA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1404 River PL Ste 303
Braselton, GA 30517-5600
Mailing address
PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | krogers106495@nghs.gadirect.net | Direct |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 22, 2021.
{
"created_epoch": "1546560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611273600000",
"number": "1124591912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 742616",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303742616",
"telephone_number": "770-219-8420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1404 RIVER PL STE 303",
"city": "BRASELTON",
"state": "GA",
"postal_code": "305175600",
"telephone_number": "770-848-9335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "KORTNEY",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-04",
"last_updated": "2021-01-22",
"certification_date": "2021-01-22",
"deactivation_date": "2020-02-25",
"reactivation_date": "2020-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": null,
"license": null,
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "GA",
"license": "RN257176",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "krogers106495@nghs.gadirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1404 River Pl Ste 303",
"city": "Braselton",
"state": "GA",
"country_code": "US",
"postal_code": "305175600",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Braselton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.