Active NPI
Debra Rodgers, M.D.
- Psychiatry Physician
- Jackson, MS
National Provider Identifier
1225306137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 08039
- Practice address
- 175 Olympia FLDS
Jackson, MS 39211-2510 - Phone
- (601) 956-7805
- Fax
- (601) 956-7805
- NPI assigned
- Dec 6, 2011
- Last updated
- Dec 6, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 08039 | MS | Primary |
Addresses
Primary practice location
175 Olympia FLDS
Jackson, MS 39211-2510
Mailing address
175 Olympia FLDS
Jackson, MS 39211-2510
Phone (601) 956-7805
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08039 | MS | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Debra E Rodgers MD PA | Psychiatry | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatry Physician
- Jackson, MS
- NPI 1285846774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323129600000",
"number": "1225306137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 OLYMPIA FLDS",
"city": "JACKSON",
"state": "MS",
"postal_code": "392112510",
"telephone_number": "601-956-7805",
"fax_number": "601-956-7805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 OLYMPIA FLDS",
"city": "JACKSON",
"state": "MS",
"postal_code": "392112510",
"telephone_number": "601-956-7805",
"fax_number": "601-956-7805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODGERS",
"first_name": "DEBRA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-06",
"last_updated": "2011-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MS",
"license": "08039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.