Active NPI
Rodger Allen Fleming, ATC/L, LMT
- Athletic Trainer
- Macon, GA
National Provider Identifier
1548549348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT001855
- Practice address
- 148 Timber Ridge Dr
Macon, GA 31216-5675 - Phone
- (661) 478-6501
- NPI assigned
- Aug 10, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT001855 | GA | Primary |
| Massage Therapist | 225700000X | MT007760 | GA |
Addresses
Primary practice location
148 Timber Ridge Dr
Macon, GA 31216-5675
Mailing address
148 Timber Ridge Dr
Macon, GA 31216-5675
Phone (661) 478-6501
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT001855 | GA | MD | Athletic Trainer |
| MT007760 | GA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432684800000",
"number": "1548549348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148 TIMBER RIDGE DR",
"city": "MACON",
"state": "GA",
"postal_code": "312165675",
"telephone_number": "661-478-6501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 TIMBER RIDGE DR",
"city": "MACON",
"state": "GA",
"postal_code": "312165675",
"telephone_number": "661-478-6501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEMING",
"first_name": "RODGER",
"middle_name": "ALLEN",
"credential": "ATC/L, LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-10",
"last_updated": "2015-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "GA",
"license": "AT001855",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "GA",
"license": "MT007760",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.