Organization Active NPI

Debra E Rodgers MD PA

  • Psychiatry Physician
  • Jackson, MS
National Provider Identifier
1285846774
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
08039 Issued in MS
Legal business name
DEBRA E RODGERS MD PA
Practice address
175 Olympia FLDS
Jackson, MS 39211-2510
Phone
(601) 956-7805
Fax
(601) 956-7805
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Dr. Debra E Rodgers, M.D.NPI 1225306137
Title
President
Phone
(601) 956-7805

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

Other identifiers 2

IdentifierTypeStateIssuer
00019408MedicaidMS
426961629OtherMSMS BLUE CROSS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1285846774",
    "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": "601-056-7805"
        },
        {
            "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": {
        "organization_name": "DEBRA E RODGERS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-956-7805",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MS",
            "license": "08039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00019408",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MS BLUE CROSS",
            "identifier": "426961629",
            "state": "MS"
        }
    ],
    "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 Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.