Active NPI
Anne Tucker Rodgers, PA-C
- Physician Assistant
- Shelby, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-07010
- Practice address
- 808 Schenck St
Shelby, NC 28150-3934 - Phone
- (704) 480-1087
- NPI assigned
- Jan 25, 2017
- Last updated
- Feb 24, 2020
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-07010 | NC | Primary |
Addresses
Primary practice location
808 Schenck St
Shelby, NC 28150-3934
Mailing address
1809 Queen St
Fayetteville, NC 28303-4337
Phone (252) 673-2436
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
133 1St Ave SE
Hickory, NC 28602-3005
Phone (828) 994-4544
991 W Hudson Blvd
Gastonia, NC 28052-6430
Phone (704) 853-5079
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-07010 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gaston Family Health Services, Inc | Current | Accepting new patients | |
| Gaston Family Health Services, Inc. | Current | Accepting new patients | |
| Fayetteville Plastic Surgery Specialists, PA | Past | Accepting new patients | |
| Gaston Family Health Services, Inc. | Past | Accepting new patients |
Locations
200 E 2nd Ave
Gastonia, NC 28052
Phone (704) 874-1904
991 W Hudson Blvd
Gastonia, NC 28052
Phone (704) 853-5000
133 1st Ave SE
Hickory, NC 28602
Phone (828) 944-4544
5009 Fallston Rd
Lawndale, NC 28090
Phone (704) 480-9344
808 Schenck St
Shelby, NC 28150
Phone (704) 480-9344
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Kintegra Family Medicine - Hudson
- Federally Qualified Health Center (FQHC)
- Gastonia, NC
- NPI 1215932215
-
dba Kintegra Family Medicine - Xray Dr
- Federally Qualified Health Center (FQHC)
- Gastonia, NC
- NPI 1306644315
-
dba Kintegra at South Newton Elementary
- Federally Qualified Health Center (FQHC)
- Newton, NC
- NPI 1578043113
-
- Plastic Surgery Physician
- Fayetteville, NC
- NPI 1093808388
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hickory, NC
- NPI 1164495255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582502400000",
"number": "1194262436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1809 QUEEN ST",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283034337",
"telephone_number": "252-673-2436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 SCHENCK ST",
"city": "SHELBY",
"state": "NC",
"postal_code": "281503934",
"telephone_number": "704-480-1087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODGERS",
"first_name": "ANNE",
"middle_name": "TUCKER",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-25",
"last_updated": "2020-02-24",
"certification_date": "2020-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-07010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelby, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.