Individual provider Active NPI

Dallas Marie Rogers, FNP

  • Family Nurse Practitioner
  • Mayodan, NC
National Provider Identifier
1235952763
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5021134 Issued in NC
Practice address
6701B NC Highway 135
Mayodan, NC 27027-8487
Phone
(336) 635-8616
NPI assigned
Nov 4, 2024
Last updated
Feb 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ROGE-HFNPG NC
Family Nurse Practitioner 363LF0000X 5021134 NC Primary

Addresses

Primary practice location

6701B NC Highway 135
Mayodan, NC 27027-8487

Mailing address

5221 Paramount Pkwy Ste 220
Morrisville, NC 27560-5490
Phone (984) 215-4111

Other practice location 1

6701 NC-135
suite b
Mayodan, NC 27027
Phone (336) 635-6816

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dmooneyham1154751@direct.UNC.nchie.net Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250109002714 NC Practitioner - Nurse Practitioner 0143758714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians

Practice addresses (Care Compare)

6701B NC Hwy 135
Mayodan, NC 27027-8487
Phone (336) 635-6816

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ROGE-HFNPGNCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unc Physicians Network LLC CurrentSince Jan 20, 2025 Accepting new patients
Unc Physicians Network LLC Current Accepting new patients
Southeastern Regional Physician Services PastSince Nov 1, 2024 Accepting new patients

Locations

6013 Farrington Rd
Ste 101
Chapel Hill, NC 27517
Phone (919) 957-6610

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

34 Healthpark Way
Ste 100
Clayton, NC 27520
Phone (919) 585-8850

37 Pineville Blvd
#102
Clayton, NC 27527
Phone (919) 346-8680

2934 N Elm St
Ste B
Lumberton, NC 28358
Phone (910) 272-1175

6701 NC Highway 135
#B
Mayodan, NC 27027
Phone (336) 635-6816

6701B NC Highway 135
Mayodan, NC 27027
Phone (336) 635-6816

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

923 W 3rd St
Ste C
Pembroke, NC 28372
Phone (910) 521-0564

51 Mosaic Blvd
Ste 100
Pittsboro, NC 27312
Phone (984) 215-6766

Interoperability endpoints

  • Direct secure messaging: dmooneyham1154751@direct.unc.nchie.net

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1235952763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 PARAMOUNT PKWY STE 220",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275605490",
            "telephone_number": "984-215-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701B NC HIGHWAY 135",
            "city": "MAYODAN",
            "state": "NC",
            "postal_code": "270278487",
            "telephone_number": "336-635-8616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6701 NC-135",
            "address_2": "suite b",
            "address_purpose": "LOCATION",
            "city": "Mayodan",
            "state": "NC",
            "postal_code": "27027",
            "country_code": "US",
            "telephone_number": "336-635-6816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "DALLAS",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-04",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "ROGE-HFNPG",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5021134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmooneyham1154751@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "6701B Nc Highway 135",
            "city": "Mayodan",
            "state": "NC",
            "country_code": "US",
            "postal_code": "270278487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mayodan, NC

Sources for this page

Verify at the official NPI Registry.