Organization Active NPI

Dr James M Rogan P.C.

  • Family Medicine Physician
  • Atlanta, GA
National Provider Identifier
1184226318
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DR JAMES M ROGAN P.C.
Practice address
3127 Lenox Rd NE Apt 4
Atlanta, GA 30324-6028
Phone
(404) 788-2966
NPI assigned
Nov 12, 2020
Last updated
Nov 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Authorized official

Name
Dana Stevenson
Title
Business Office Manger
Phone
(478) 338-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3127 Lenox Rd NE Apt 4
Atlanta, GA 30324-6028

Mailing address

3127 Lenox Rd NE Apt 4
Atlanta, GA 30324-6028
Phone (404) 788-2966

Other practice location 1

1700 Bostick Cir
Milledgeville, GA 31061-3941
Phone (478) 414-9600

Other identifiers 1

IdentifierTypeStateIssuer
000645532MMedicaidGA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1184226318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3127 LENOX RD NE APT 4",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303246028",
            "telephone_number": "404-788-2966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3127 LENOX RD NE APT 4",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303246028",
            "telephone_number": "404-788-2966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Bostick Cir",
            "address_purpose": "LOCATION",
            "city": "Milledgeville",
            "state": "GA",
            "postal_code": "310613941",
            "country_code": "US",
            "telephone_number": "478-414-9600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR JAMES M ROGAN P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-12",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANGER",
        "authorized_official_telephone_number": "478-338-3700"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000645532M",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.