Individual provider Active NPI

Roderica E. Cottrell, MD

  • Physical Medicine & Rehabilitation Physician
  • Covington, GA
National Provider Identifier
1336194836
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
054986 Issued in GA
Practice address
13165 Brown Bridge Rd
Covington, GA 30016-4115
Phone
(678) 532-9442
NPI assigned
May 23, 2006
Last updated
May 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 054986 GA Primary

Addresses

Primary practice location

13165 Brown Bridge Rd
Covington, GA 30016-4115

Mailing address

3211 Iris Dr
Covington, GA 30016-0907
Phone (770) 787-4042

Other practice location 1

3211 Iris Dr
Covington, GA 30016-0907
Phone (770) 787-4042

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
I20060619000104 GA Practitioner - Physical Medicine and Rehabilitation 8224040043

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
054986GAMDPhysical Medicine & Rehabilitation Physician

Interoperability endpoints

  • Direct secure messaging: roderica.cottrell.1@28086.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1336194836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 IRIS DR",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300160907",
            "telephone_number": "770-787-4042",
            "fax_number": "770-787-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13165 BROWN BRIDGE RD",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300164115",
            "telephone_number": "678-532-9442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3211 Iris Dr",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "GA",
            "postal_code": "300160907",
            "country_code": "US",
            "telephone_number": "770-787-4042",
            "fax_number": "770-787-4001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COTTRELL",
        "first_name": "RODERICA",
        "middle_name": "E.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "054986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

Verify at the official NPI Registry.