Active NPI
Tyler Rogers
- Certified Registered Nurse Anesthetist
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN-CRNA307444
- Practice address
- 1520 Clifton Rd NE
Atlanta, GA 30322-4201 - Phone
- (404) 727-7980
- NPI assigned
- Feb 6, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN307444 | GA | |
| Certified Registered Nurse Anesthetist | 367500000X | APRN-CRNA307444 | GA | Primary |
Addresses
Primary practice location
1520 Clifton Rd NE
Atlanta, GA 30322-4201
Mailing address
1182 Brookhaven Park PL NE
Brookhaven, GA 30319-4560
Phone (217) 419-5846
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Emory University School of Medicine, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1266 Hwy 515 S
Jasper, GA 30143-4872
Phone (770) 702-1806
Hospital & facility affiliations
- Piedmont Mountainside Hospital Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN307444 | GA | MD | Registered Nurse |
| APRN-CRNA307444 | GA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fortis Health, LLC | Current | Accepting new patients |
Locations
1266 Highway 515 S
Jasper, GA 30143
Phone (706) 301-5350
1300 Ridenour Blvd NW
Ste 300
Kennesaw, GA 30152
Phone (770) 693-0810
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Jasper, GA
- NPI 1659960276
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jasper, GA
- NPI 1780643411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760313600000",
"number": "1376357467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1182 BROOKHAVEN PARK PL NE",
"city": "BROOKHAVEN",
"state": "GA",
"postal_code": "303194560",
"telephone_number": "217-419-5846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 CLIFTON RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303224201",
"telephone_number": "404-727-7980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "TYLER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-02-06",
"last_updated": "2025-10-13",
"certification_date": "2025-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN307444",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "APRN-CRNA307444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; 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.