Paul Roger Koger II, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN0000022639 Issued in TN

Practice address

2009 Michigan Avenue
Allardt, TN 38504

Phone

(931) 752-9458

NPI assigned

Jun 21, 2017

Last updated

Aug 18, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Quality Home Health Home health agency, Jamestown, TN, CCN 447406
• University Health System, Inc Hospital, Knoxville, TN, CCN 440015
• Cumberland Medical Center Hospital, Crossville, TN, CCN 440009
• Cookeville Regional Medical Center Hospital, Cookeville, TN, CCN 440059

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: pkoger@afcl-tn.direct.office.nextgen.com

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.

• Allardt Family Care LLC

  • Primary Care Clinic/Center
  • Allardt, TN
  • NPI 1548887482
  Medicare reassignment NPD Authorized official
• Chad a Conatser MD PLLC

  • Internal Medicine Physician
  • Jamestown, TN
  • NPI 1619423829
  NPD (past)
• Jamestown Internal Medicine P.C.

  dba Jamestown Internal Medicine

  • Internal Medicine Physician
  • Jamestown, TN
  • NPI 1619016581
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• All Care Plus Inc.

  dba Quality Home Health

  • Home Health Agency
  • Jamestown, TN
  • NPI 1629073614
  Care Compare affiliation
• Cookeville Regional Medical Center

  • General Acute Care Hospital
  • Cookeville, TN
  • NPI 1275531956
  Care Compare affiliation
• Cumberland Medical Center, Inc.

  dba Cumberland Medical Center

  • General Acute Care Hospital
  • Crossville, TN
  • NPI 1871596403
  Care Compare affiliation
• University Health System, Inc.

  dba University of Tennessee Medical Center

  • General Acute Care Hospital
  • Knoxville, TN
  • NPI 1538164090
  Care Compare affiliation

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1235659137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "ALLARDT",
            "state": "TN",
            "postal_code": "385040190",
            "telephone_number": "931-752-9485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 MICHIGAN AVENUE",
            "city": "ALLARDT",
            "state": "TN",
            "postal_code": "38504",
            "telephone_number": "931-752-9458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOGER",
        "first_name": "PAUL",
        "middle_name": "ROGER",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-21",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000022639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allardt Family Care LLC
• Dillon Mental Wellness Psychiatry, PLLC
• Tabatha Mechelle Dillon, MSN, APRN, PMHNP-BC
• Sherri Stinson, LCSW

• Family Nurse Practitioner in Allardt, TN
• Providers in Allardt, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.

Verify at the official NPI Registry.