Charles L. Rodgers, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

030202 Issued in GA

Practice address

2201 Buena Vista Rd
Columbus, GA 31906-3121

Phone

(706) 320-9012

Fax

(706) 320-9021

NPI assigned

May 1, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Gwendolyn Wilkes Rainbow Center

  • Adult Care Home Facility
  • Columbus, GA
  • NPI 1215153770
  NPD (past)

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295956902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 BUENA VISTA RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319063121",
            "telephone_number": "706-320-9012",
            "fax_number": "706-320-9021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 BUENA VISTA RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319063121",
            "telephone_number": "706-320-9012",
            "fax_number": "706-320-9021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "CHARLES",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "030202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00354021-A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David T Rock, M.D.
• Nola Rockemore
• Antoine Rockmore Sr.
• Seaborn A Roddenbery V, MD
• Charles Rodgers
• Leon Rodgers Jr., EDD, MSW, MHDL, LCSW
• Sharda Kendra Rodgerwall, RBT
• James B Rodier, D.O.
• Jose Rodriguez-Martinez, PTA
• Alina Rodriguez, RBT

• Internal Medicine Physician in Columbus, GA
• Providers in Columbus, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.