Active NPI
Joi Livingston Rogers, M.D.
- Pediatrics Physician
- McDonough, GA
National Provider Identifier
1417396342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 75881
- Practice address
- 101 Regency Park Dr Ste 140
McDonough, GA 30253-7076 - Phone
- (770) 957-8626
- Fax
- (770) 957-7200
- NPI assigned
- Jun 25, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 75881 | GA | Primary |
Addresses
Primary practice location
101 Regency Park Dr Ste 140
McDonough, GA 30253-7076
Mailing address
1100 Ward St Ext W
Douglas, GA 31533
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003166378B | Medicaid | GA | |
| 075881 | Other | GA | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75881 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McDonough Pediatrics | Pediatrics | Past | Accepting new patients |
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.
-
- Pediatrics Physician
- McDonough, GA
- NPI 1669668125
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": "1671494400000",
"number": "1417396342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 WARD ST EXT W",
"city": "DOUGLAS",
"state": "GA",
"postal_code": "31533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 REGENCY PARK DR STE 140",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302537076",
"telephone_number": "770-957-8626",
"fax_number": "770-957-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "JOI",
"middle_name": "LIVINGSTON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-25",
"last_updated": "2022-12-20",
"certification_date": "2022-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "75881",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003166378B",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "075881",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McDonough, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.