Andrew James Rodgers

Primary specialty

DriverTaxonomy code 172A00000X

License

800401509 Issued in MS

Practice address

104 Cherry Bark Way
Pearl, MS 39208-5542

Phone

(601) 668-4010

NPI assigned

Dec 3, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1174160758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 CHERRY BARK WAY",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392085542",
            "telephone_number": "601-668-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 CHERRY BARK WAY",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392085542",
            "telephone_number": "601-668-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "ANDREW",
        "middle_name": "JAMES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-03",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "MS",
            "license": "800401509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "Pearl",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "104 Cherry Bark Way",
            "city": "Pearl",
            "state": "MS",
            "country_code": "US",
            "postal_code": "392085542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carmen Rena Rhymes Pitts, NP
• Maria Alexandra Risher, OTR/L
• Jade Alexandra Roberts
• William Colby Roberts, DMD
• Zachary Robinson
• Christopher Rogers, LPTA
• Roses of Love, LLC
• Karen Fay Ross, MD
• Christopher Richard Roy, PTA
• Jonathan David Sadler, DO

• Driver in Pearl, MS
• Providers in Pearl, MS by specialty
• Driver in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.