Active NPI
Sifiso Rodger, NP
- Nurse Practitioner
- Austell, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN192030
- Practice address
- 3950 Austell Rd
Austell, GA 30106-1121 - Phone
- (770) 732-5570
- NPI assigned
- May 7, 2012
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN192030 | GA | Primary |
Addresses
Primary practice location
3950 Austell Rd
Austell, GA 30106-1121
Mailing address
5665 New Northside Dr NW
Suite 320
Atlanta, GA 30328-5831
Phone (770) 874-5468
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN192030 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FHPG, LLC | Current | Accepting new patients | |
| The Bortolazzo Group, LLC | Current | Accepting new patients | |
| Piedmont Healthcare Inc | Current | Accepting new patients | |
| FHPG, LLC | Current | Accepting new patients | |
| FHPG, LLC | Current | Accepting new patients |
Locations
1984 Peachtree Rd NW
Ste 205
Atlanta, GA 30309
3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752
5665 New Northside Dr
Ste 320
Sandy Springs, GA 30328
Phone (770) 874-5468
46 Memorial Dr
Pinehurst, NC 28374
Phone (910) 295-6782
155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000
6408 Fayetteville Rd
Raeford, NC 28376
Phone (910) 878-6000
925 S Long Dr
Rockingham, NC 28379
Phone (910) 417-3000
520 Allen St
Troy, NC 27371
Phone (910) 571-5000
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- sifiso.rodger.1@1215.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Cardiovascular Disease Physician
- Stockbridge, GA
- NPI 1376624940
-
- Emergency Medicine Physician
- Austell, GA
- NPI 1801965082
-
- Family Medicine Physician
- Lillington, NC
- NPI 1760329486
-
- Family Medicine Physician
- Ellerbe, NC
- NPI 1336154129
-
- Specialist
- Pinehurst, NC
- NPI 1770512865
-
- Family Medicine Physician
- Sanford, NC
- NPI 1942196035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336348800000",
"number": "1477812782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5665 NEW NORTHSIDE DR NW",
"address_2": "SUITE 320",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303285831",
"telephone_number": "770-874-5468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3950 AUSTELL RD",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301061121",
"telephone_number": "770-732-5570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODGER",
"first_name": "SIFISO",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-07",
"last_updated": "2012-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN192030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.