Rosheka Deon Tenner, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA00824 Issued in MS

Practice address

950 Matthew Dr
Waynesboro, MS 39367-2590

Phone

(601) 735-5151

NPI assigned

Aug 28, 2024

Last updated

Aug 28, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wayne General HospitalGroup PAC ID 2668457581, 47 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wayne General Hospital Hospital, Waynesboro, MS, CCN 250077

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wayne General Hospital

  dba Wayne General Crna

  • Certified Registered Nurse Anesthetist
  • Waynesboro, MS
  • NPI 1093930638
  Medicare reassignment Care Compare group
• Wayne General Hospital

  dba Wayne General School Clinic

  • Rural Health Clinic/Center
  • Waynesboro, MS
  • NPI 1558963496
  NPD
• Wayne General Hospital

  dba Wayne General Hospitalist

  • Hospitalist Physician
  • Waynesboro, MS
  • NPI 1699589143
  NPD
• Wayne General Hospsital

  dba Wayne General Ekg

  • Interventional Cardiology Physician
  • Waynesboro, MS
  • NPI 1902021546
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Wayne General Hospital

  • General Acute Care Hospital
  • Waynesboro, MS
  • NPI 1679559983
  Care Compare affiliation

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1336973734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 MATTHEW DR",
            "city": "WAYNESBORO",
            "state": "MS",
            "postal_code": "393672590",
            "telephone_number": "601-735-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 MATTHEW DR",
            "city": "WAYNESBORO",
            "state": "MS",
            "postal_code": "393672590",
            "telephone_number": "601-735-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENNER",
        "first_name": "ROSHEKA",
        "middle_name": "DEON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MS",
            "license": "PA00824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanley Discount Drugs, Inc
• Charles Todd Stokley, MD
• Edwin Winston Strickland, DDS
• Sunrise Counseling, LLC
• Shelley Segrest Taylor, D.M.D.
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0785)
• Wal-Mart Stores East, LP (Vision Center 30-0785)
• Walgreen Co (Walgreens #12929)
• Robert King Walker
• Walley Clinic PA

• Medical Physician Assistant in Waynesboro, MS
• Providers in Waynesboro, MS by specialty
• Medical Physician Assistant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.