Active NPI
Beverly Rogers, MD
- Pediatric Pathology Physician
- Atlanta, GA
National Provider Identifier
1225097363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pathology Physician
- License
- 65172
- Practice address
- 1001 Johnson Fy Rd NE
Pathology Administration
Atlanta, GA 30342-1605 - Phone
- (404) 785-2840
- Fax
- (404) 785-4541
- NPI assigned
- Mar 18, 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 |
|---|---|---|---|---|
| Pediatric Pathology Physician | 207ZP0213X | 65172 | GA | Primary |
Addresses
Primary practice location
1001 Johnson Fy Rd NE
Pathology Administration
Atlanta, GA 30342-1605
Mailing address
1001 Johnson Fy Rd NE
Pathology Administration
Atlanta, GA 30342-1605
Phone (404) 785-2840
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | choa@choa.gadirect.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of Texas Medical Branch at Galveston, 1986
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1199 Glenridge PL
Atlanta, GA 30342-1781
525 W Brown Rd
Mesa, AZ 85201-3202
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65172 | GA | MD | Pediatric Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner-University Medical Group | Family Medicine | Current | Accepting new patients |
| Banner-University Medical Group | Current | Accepting new patients |
Locations
1625 N Campbell Ave
Tucson, AZ 85719
2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471
Interoperability endpoints
- brogers45085@choa.gadirect.net
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1508809427
Family Medicine
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1922820935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654473600000",
"number": "1225097363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 JOHNSON FY RD NE",
"address_2": "PATHOLOGY ADMINISTRATION",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421605",
"telephone_number": "404-785-2840",
"fax_number": "404-785-4541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 JOHNSON FY RD NE",
"address_2": "PATHOLOGY ADMINISTRATION",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421605",
"telephone_number": "404-785-2840",
"fax_number": "404-785-4541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "BEVERLY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-18",
"last_updated": "2022-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0213X",
"taxonomy_group": "",
"desc": "Pathology, Pediatric Pathology",
"state": "GA",
"license": "65172",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "choa@choa.gadirect.net",
"affiliation": "N",
"address_1": "1001 Johnson Fy Rd NE",
"address_2": "Pathology Administration",
"city": "Atlanta",
"state": "GA",
"country_code": "US",
"postal_code": "303421605",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jun 6, 2022; 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.