Carolyn V Rodgers, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10231 Issued in NC

Practice address

580 New Waverly PL
Suite 120
Cary, NC 27518-7406

Phone

(919) 858-8360

Fax

(919) 858-8408

NPI assigned

Mar 21, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Raleigh Durham Medical Group PA

  • Family Medicine Physician
  • Cary, NC
  • NPI 1295784874
  NPD (past)

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274400000000",
    "number": "1386760726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 NEW WAVERLY PL",
            "address_2": "SUITE 120",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275117406",
            "telephone_number": "919-858-8360",
            "fax_number": "919-858-8408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 NEW WAVERLY PL",
            "address_2": "SUITE 120",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187406",
            "telephone_number": "919-858-8360",
            "fax_number": "919-858-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "CAROLYN",
        "middle_name": "V",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2010-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "10231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Antoinette Robotti, LCMHCA
• Rock Chiropractic, PLLC
• Julie Elizabeth Rockefeller, M.S. CCC-SLP
• Stacy Elizabeth Rockman
• Anne Carol Roden
• Cassidy Pinyan Rodgers, MSW, LCSWA, LCAS-A
• Deonnie D Rodgers
• Gilberto Rodrigo, M.D.
• Julia Rodriguez-O'Donnell, LCSW
• Azaneth Rodriguez, RBT

• Physician Assistant in Cary, NC
• Providers in Cary, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.