Individual provider Active NPI

Jonathan Andrew Rogers, CRNA

  • Certified Registered Nurse Anesthetist
  • Newnan, GA
National Provider Identifier
1346348687
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN128170 Issued in GA
Practice address
80 Newnan Station Drive, Suite a
Newnan, GA 30265
Phone
(770) 251-2060
Fax
(678) 854-9235
NPI assigned
Sep 20, 2006
Last updated
Apr 16, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN128170 GA Primary

Addresses

Primary practice location

80 Newnan Station Drive, Suite a
Newnan, GA 30265

Mailing address

PO Box 73709
Newnan, GA 30271-3709
Phone (770) 251-2060

Other identifiers 1

IdentifierTypeStateIssuer
100637245AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040518000947 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648261834 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sentry Anesthesia Management, LLCGroup PAC ID 9436372323, 170 clinicians

Practice addresses (Care Compare)

1015 Lafayette Pkwy
Lagrange, GA 30241-3584
Phone (762) 323-1260

126 US Hwy 280 W
Americus, GA 31719-8645
Phone (229) 924-6011

350 Brandywine Blvd
Suite 101
Fayetteville, GA 30214-1562
Phone (678) 801-6818

600 Celebrate Life Pkwy
Newnan, GA 30265-8001
Phone (770) 400-7016

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN128170GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Solutions of Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 23, 2023 Accepting new patients
Sentry Anesthesia Management, LLC CurrentSince May 2, 2014 Accepting new patients
Mulkey Anesthesiology Associates LLC Current Accepting new patients
City of Hope Medical Group of Georgia LLC CurrentSince Feb 6, 2014 Accepting new patients
Spectrum Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2023 Accepting new patients
CPM Surgery Center 3, LLC CurrentSince Mar 16, 2023 Accepting new patients
Interventional Spine and Pain Management Ambulatory Surgical Center CurrentSince Mar 16, 2023 Accepting new patients

Locations

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

3390 Peachtree Rd NE
Ste 1500
Atlanta, GA 30326
Phone 40492049502501

67 Peachtree Park Dr NE
Ste 101
Atlanta, GA 30309
Phone (404) 378-1550

3870 Medical Park Dr
Austell, GA 30106
Phone (770) 732-3649

3870 Medical Park Dr
Ste 100
Austell, GA 30106

163 E Tollison St
Baxley, GA 31513
Phone (912) 367-9847

1210 Brookstone Centre Pkwy
Columbus, GA 31904
Phone (706) 322-1717

7351 Old Moon Rd
Columbus, GA 31909
Phone (706) 221-2721

1388 Wellbrook Cir NE
Conyers, GA 30012

1388 Wellbrook Cir NE
#A
Conyers, GA 30012
Phone (770) 385-7985

350 Brandywine Blvd
Ste 101
Fayetteville, GA 30214
Phone (678) 801-6818

874 Lanier Ave W
Ste 100
Fayetteville, GA 30214
Phone (770) 461-4000

874 Lanier Ave W
Ste 220
Fayetteville, GA 30214
Phone (678) 833-1444

601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721

1514 Vernon Rd
Lagrange, GA 30240
Phone (706) 812-2369

2401 Newnan Crossing Blvd E
Ste 130
Newnan, GA 30265
Phone (678) 794-2106

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

80 Newnan Station Dr
Ste A
Newnan, GA 30265

165 N Park Trl
Ste 100
Stockbridge, GA 30281
Phone (770) 506-1800

62742 Collections Ctr Dr
Chicago, IL 60693

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429142400000",
    "number": "1346348687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73709",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302713709",
            "telephone_number": "770-251-2060",
            "fax_number": "678-854-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 NEWNAN STATION DRIVE, SUITE A",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "30265",
            "telephone_number": "770-251-2060",
            "fax_number": "678-854-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "JONATHAN",
        "middle_name": "ANDREW",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN128170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100637245A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.