Individual provider Active NPI

Lisa S Rogers, MD

  • Specialist
  • Statesboro, GA
National Provider Identifier
1316900517
Registry record updated Mar 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
040800 Issued in GA
Practice address
1523 Fair Rd
Statesboro, GA 30458-6025
Phone
(912) 871-2000
Fax
(912) 871-2500
NPI assigned
Apr 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 040800 GA Primary

Addresses

Primary practice location

1523 Fair Rd
Statesboro, GA 30458-6025

Mailing address

PO Box 1958
Statesboro, GA 30459-1958
Phone (912) 871-2000

Other identifiers 1

IdentifierTypeStateIssuer
000787597AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110609000433 GA Practitioner - Obstetrics/Gynecology 0042386534 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Saint Louis University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Statesboro OB-GYN Specialists, PCGroup PAC ID 0840181822, 3 clinicians

Practice addresses (Care Compare)

1523 Fair Rd
Statesboro, GA 30458-6025
Phone (912) 871-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
040800GAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Statesboro OB-GYN Specialists, PC Specialist CurrentSince Aug 3, 1998 Accepting new patients
The Women'S Surgery Center, LLC CurrentSince Feb 20, 2002 Accepting new patients
East Georgia Regional Medical Center, LLC Past Accepting new patients

Locations

1523 Fair Rd
Statesboro, GA 30458
Phone (912) 871-2000

Interoperability endpoints

  • Direct secure messaging: lisa.rogers.2@8182.direct.athenahealth.com
  • Direct secure messaging: lisa.rogers.1@8182.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8182/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301529600000",
    "number": "1316900517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1958",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304591958",
            "telephone_number": "912-871-2000",
            "fax_number": "912-871-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 FAIR RD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304586025",
            "telephone_number": "912-871-2000",
            "fax_number": "912-871-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "LISA",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2011-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "040800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000787597A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

Verify at the official NPI Registry.