Individual provider Active NPI

Catherine Hilary Rogers, PH.D

  • Clinical Psychologist
  • Smyrna, GA
National Provider Identifier
1174707756
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY003191 Issued in GA
Practice address
2400 Lake Park Dr SE Ste 110
Smyrna, GA 30080-8979
Phone
(770) 933-4130
Fax
(770) 993-4135
NPI assigned
Dec 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY003191 GA Primary

Addresses

Primary practice location

2400 Lake Park Dr SE Ste 110
Smyrna, GA 30080-8979

Mailing address

2400 Lake Park Dr SE Ste 110
Smyrna, GA 30080-8979
Phone (770) 933-4130

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080428000559 GA Practitioner - Clinical Psychologist 6305924507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jason a King PHD LLCGroup PAC ID 1153338850, 3 clinicians

Practice addresses (Care Compare)

2400 Lake Park Dr SE
Suite 110
Smyrna, GA 30080-8979
Phone (770) 933-4130

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY003191GAMDClinical Psychologist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1174707756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 LAKE PARK DR SE STE 110",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300808979",
            "telephone_number": "770-933-4130",
            "fax_number": "770-933-4135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 LAKE PARK DR SE STE 110",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300808979",
            "telephone_number": "770-933-4130",
            "fax_number": "770-993-4135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "CATHERINE",
        "middle_name": "HILARY",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-19",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY003191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

Verify at the official NPI Registry.