Individual provider Active NPI

Mary Rodgers, CHOZEN ONE TRANSPORT

  • Private Vehicle
  • Thomaston, GA
National Provider Identifier
1487288981
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
Practice address
342 S Main St
Thomaston, GA 30286-3105
Phone
(678) 396-0266
NPI assigned
Feb 24, 2020
Last updated
Nov 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X NU Primary
Driver 172A00000X NU
Driver 172A00000X GA

Addresses

Primary practice location

342 S Main St
Thomaston, GA 30286-3105

Mailing address

342 S Main St
Thomaston, GA 30286-3105
Phone (678) 396-0266

Other practice location 1

1875 New Orleans Way
McDonough, GA 30252-8692
Phone (678) 396-0266

Other names 1

  • Mary Rodgers Professional name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chozen One Transportation Driver CurrentSince Mar 1, 2020 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1487288981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 S MAIN ST",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302863105",
            "telephone_number": "678-396-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 S MAIN ST",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302863105",
            "telephone_number": "678-396-0266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1875 New Orleans Way",
            "address_purpose": "LOCATION",
            "city": "McDonough",
            "state": "GA",
            "postal_code": "302528692",
            "country_code": "US",
            "telephone_number": "678-396-0266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "MARY",
        "credential": "CHOZEN ONE TRANSPORT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-24",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "GA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "RODGERS",
            "credential": "CHOZEN ONE TRANSPORT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Thomaston, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.