Active NPI
Ann Marie Rodden, DO
- Family Medicine Physician
- Georgetown, KY
National Provider Identifier
1164529954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 03480
- Practice address
- 137 S Hamilton St
Georgetown, KY 40324-1671 - Phone
- (502) 542-3326
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 03480 | KY | Primary |
Addresses
Primary practice location
137 S Hamilton St
Georgetown, KY 40324-1671
Mailing address
3138 Frankfort Rd
Georgetown, KY 40324-9465
Phone (502) 542-3326
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100219240 | Medicaid | KY | |
| 007511 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 1, 2020 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03480 | KY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurosurgical Associates PSC | Current | Accepting new patients | |
| Healthy Hedgehog, PLLC | Current | Accepting new patients | |
| Coastal Carolina Primary Care, LLC | Past | Accepting new patients | |
| The Healthy Hedgehog Wellness Coach, LLC | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- annrodden@kysjhspe.allscriptsdirect.net
Organizations & group practices 4
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.
-
- Primary Care Clinic/Center
- Georgetown, KY
- NPI 1750920450
-
- Family Medicine Physician
- Georgetown, KY
- NPI 1356864938
Family Medicine
-
- Neurological Surgery Physician
- Lexington, KY
- NPI 1235110925
-
- Endocrinology, Diabetes & Metabolism Physician
- Myrtle Beach, SC
- NPI 1821257676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771286400000",
"number": "1164529954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3138 FRANKFORT RD",
"city": "GEORGETOWN",
"state": "KY",
"postal_code": "403249465",
"telephone_number": "502-542-3326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 S HAMILTON ST",
"city": "GEORGETOWN",
"state": "KY",
"postal_code": "403241671",
"telephone_number": "502-542-3326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODDEN",
"first_name": "ANN",
"middle_name": "MARIE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2026-02-17",
"certification_date": "2026-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "03480",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100219240",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007511",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Georgetown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.