Individual provider Active NPI

Raegan Rogers, NP

  • Family Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1316436504
Registry record updated Aug 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-132052 Issued in AL
Practice address
631 Bessemer Super Hwy
Birmingham, AL 35228
Phone
(205) 241-5222
NPI assigned
May 3, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2018

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 F10170336 AL
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 1-132052 AL Primary

Addresses

Primary practice location

631 Bessemer Super Hwy
Birmingham, AL 35228

Mailing address

2731 Martin Luther King Blvd
Tuscaloosa, AL 35401-5235
Phone (205) 349-3250

Other practice location 1

631 Bessemer Super Hwy
Birmingham, AL 35228-3013
Phone (205) 241-5230

Other practice location 2

631 Bessemer Super Hwy
Birmingham, AL 35228-3013
Phone (205) 241-5230

Other practice location 3

631 Bessemer Super Hwy
Birmingham, AL 35228-3013
Phone (205) 241-5222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20181003000455 AL Practitioner - Nurse Practitioner 1052663002 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advantage Family Care IncGroup PAC ID 7618103748, 56 clinicians

Practice addresses (Care Compare)

1539 Montgomery Hwy
Suite 101
Vestavia Hills, AL 35216-4557
Phone (659) 599-9513

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F10170336ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Care, LLC Multi-Specialty CurrentSince Feb 2, 2019 Accepting new patients
Fast Pace Medical Clinic PLLC Multi-Specialty CurrentSince Sep 22, 2022 Accepting new patients
American Family Care, LLC Multi-Specialty CurrentSince Feb 2, 2019 Accepting new patients
Advantage Family Care Inc Multi-Specialty CurrentSince Aug 27, 2025 Accepting new patients
Luis F Pineda MD PC Multi-Specialty CurrentSince Aug 26, 2021 Accepting new patients
Cooper Green Mercy Health Services Authority an Affiliate of Uab CurrentSince Apr 11, 2020 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Sep 22, 2022 Accepting new patients
Cooper Green Mercy Health Services Authority an Affiliate of Uab Multi-Specialty CurrentSince Apr 11, 2020 Accepting new patients
Advantage Family Care, Inc. CurrentSince Aug 27, 2025 Accepting new patients
Advantage Family Care, Inc. PastSince Nov 6, 2022 Accepting new patients

Locations

1509 6th Ave S
Birmingham, AL 35233
Phone (205) 930-3200

1515 6th Ave S
Birmingham, AL 35233
Phone (205) 930-3200

1115 Beltline Rd SE
Ste 400
Decatur, AL 35601
Phone (256) 898-3004

416 N Seminary St
Ste 1100
Florence, AL 35630
Phone (256) 284-7280

1664 Forestdale Blvd
Forestdale, AL 35214
Phone (205) 409-2794

14451 Highway 231 431 N
Ste 100
Hazel Green, AL 35750
Phone (256) 829-6025

1539 Montgomery Hwy
Ste 101
Hoover, AL 35216
Phone (659) 599-9513

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

1909 Laurel Rd
Vestavia Hills, AL 35216
Phone (205) 978-3568

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533168000000",
    "number": "1316436504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2731 MARTIN LUTHER KING BLVD",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354015235",
            "telephone_number": "205-349-3250",
            "fax_number": "205-752-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 BESSEMER SUPER HWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35228",
            "telephone_number": "205-241-5222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "631 Bessemer Super Hwy",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352283013",
            "country_code": "US",
            "telephone_number": "205-241-5230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "631 Bessemer Super Hwy",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352283013",
            "country_code": "US",
            "telephone_number": "205-241-5230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "631 Bessemer Super Hwy",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352283013",
            "country_code": "US",
            "telephone_number": "205-241-5222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "RAEGAN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-03",
        "last_updated": "2018-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "F10170336",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-132052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.