Individual provider Active NPI

Kristie S. Rohman, M.D.

  • Pediatrics Physician
  • Jackson, MS
National Provider Identifier
1457576878
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
19721 Issued in MS
Practice address
1867 Crane Ridge Dr Ste 101B
Jackson, MS 39216-4956
Phone
(601) 362-8776
Fax
(601) 354-8786
NPI assigned
Apr 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 19721 MS Primary

Addresses

Primary practice location

1867 Crane Ridge Dr Ste 101B
Jackson, MS 39216-4956

Mailing address

1867 Crane Ridge Dr Ste 101B
Jackson, MS 39216-4956
Phone (601) 362-8776

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19721MSMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Medical Group, P.a. Pediatrics Current Accepting new patients

Locations

1867 Crane Ridge Dr
Ste 101B
Jackson, MS 39216
Phone (601) 362-8776

7726 Old Canton Rd
Madison, MS 39110
Phone (601) 856-5105

Interoperability endpoints

  • Direct secure messaging: kristierohman@cmgpa.allscriptsdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457576878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1867 CRANE RIDGE DR STE 101B",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164956",
            "telephone_number": "601-362-8776",
            "fax_number": "601-354-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1867 CRANE RIDGE DR STE 101B",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164956",
            "telephone_number": "601-362-8776",
            "fax_number": "601-354-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHMAN",
        "first_name": "KRISTIE",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "19721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.