Active NPI
Roger Martin Vega Blanco, M.D.
- Internal Medicine Physician
- Stockbridge, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 77322
- Practice address
- 1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085 - Phone
- (404) 367-3014
- NPI assigned
- Jun 25, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME151274 | FL | |
| Hospitalist Physician | 208M00000X | 77322 | GA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 77322 | GA | Primary |
Addresses
Primary practice location
1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Mailing address
1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Phone (678) 604-5901
Other practice location 1
8201 W Broward Blvd
Plantation, FL 33324-2701
Phone (877) 832-2652
Other practice location 2
180 JFK Dr Ste 210
Atlantis, FL 33462-6641
Phone (561) 548-1450
Other practice location 3
350 Hospital Dr
Macon, GA 31217-3838
Phone (478) 765-7000
Other practice location 4
1611 NW 12th Ave
Miami, FL 33136-1005
Phone (877) 832-2652
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Phone (404) 851-8000
1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Phone (678) 604-1000
Hospital & facility affiliations
- Central Home Health Care, an Amedisys Company
- Piedmont Henry Hospital
- Northside Hospital Cherokee
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.79 of 100
- Quality
- 98.74
- Improvement activities
- 40
- Cost
- 83.11
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME151274 | FL | MD | Internal Medicine Physician |
| 77322 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Athens Hospitalist Physicians LLC | Internal Medicine | Current | Accepting new patients |
| North Atlanta Professional Services LLC | Hospitalist | Current | Accepting new patients |
| Cogent Healthcare of Georgia PC | Internal Medicine | Current | Accepting new patients |
| Gwinnett Physician Group, LLC | Internal Medicine | Current | Accepting new patients |
| Piedmont Hospitalist Physicians LLC | Internal Medicine | Current | Accepting new patients |
| Piedmont Athens Specialty Care LLC | Past | Accepting new patients | |
| Piedmont Henry Hospital, Inc. | Past | Accepting new patients |
Locations
1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520
35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000
1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500
1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356
350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367
400 Charter Blvd
Macon, GA 31210
Phone (478) 757-6000
1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000
1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Stockbridge, GA
- NPI 1548219660
Internal Medicine
-
- Internal Medicine Physician
- Macon, GA
- NPI 1609827823
-
- Internal Medicine Physician
- Lawrenceville, GA
- NPI 1578574661
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1578079000
-
- Cardiovascular Disease Physician
- Athens, GA
- NPI 1184130627
-
- General Acute Care Hospital
- Stockbridge, GA
- NPI 1225034333
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Douglasville, GA
- NPI 1437117090
-
- General Acute Care Hospital
- Canton, GA
- NPI 1225050396
-
- General Acute Care Hospital
- Stockbridge, GA
- NPI 1225034333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740528000000",
"number": "1376983114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1133 EAGLES LANDING PKWY",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302815085",
"telephone_number": "678-604-5901",
"fax_number": "678-604-5910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 EAGLES LANDING PKWY",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302815085",
"telephone_number": "404-367-3014"
}
],
"practiceLocations": [
{
"address_1": "8201 W Broward Blvd",
"address_purpose": "LOCATION",
"city": "Plantation",
"state": "FL",
"postal_code": "333242701",
"country_code": "US",
"telephone_number": "877-832-2652",
"fax_number": "800-792-9021",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "180 JFK Dr Ste 210",
"address_purpose": "LOCATION",
"city": "Atlantis",
"state": "FL",
"postal_code": "334626641",
"country_code": "US",
"telephone_number": "561-548-1450",
"fax_number": "561-548-1459",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "350 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Macon",
"state": "GA",
"postal_code": "312173838",
"country_code": "US",
"telephone_number": "478-765-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1611 NW 12th Ave",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331361005",
"country_code": "US",
"telephone_number": "877-832-2652",
"fax_number": "800-792-9021",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VEGA BLANCO",
"first_name": "ROGER",
"middle_name": "MARTIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-25",
"last_updated": "2025-02-26",
"certification_date": "2025-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME151274",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "GA",
"license": "77322",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "77322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockbridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.