Active NPI
Candice T Rogers, RN NP
- Nurse Practitioner
- Dublin, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN168119
- Practice address
- 1000 Hillcrest Pkwy
Dublin, GA 31021 - Phone
- (478) 277-0214
- NPI assigned
- Aug 4, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN168119 | GA | |
| Nurse Practitioner | 363L00000X | RN168119 | GA | Primary |
Addresses
Primary practice location
1000 Hillcrest Pkwy
Dublin, GA 31021
Mailing address
900 Mohawk St Ste E
Savannah, GA 31419-1768
Phone (912) 925-0067
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | crogers@gscc.encitedirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN168119 | GA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sidney P Smith MD PC | Current | Accepting new patients | |
| St Josephs Candler Urgent Care Centers LLC | Current | Accepting new patients | |
| St Josephs Candler Urgent Care Centers LLC | Current | Accepting new patients |
Locations
101 Saint Josephs Candler Dr
Ste 100
Pooler, GA 31322
Phone (912) 450-1945
361 Commercial Dr
Savannah, GA 31406
Phone (912) 355-6221
900 Mohawk St
Ste E
Savannah, GA 31419
900 Mohawk St
Ste F
Savannah, GA 31419
1096 Bermuda Run
Statesboro, GA 30458
Phone (912) 871-5150
Interoperability endpoints
- crogers@gscc.encitedirect.com
Organizations & group practices 3
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.
-
- Dermatology Physician
- Savannah, GA
- NPI 1427039254
-
- Urgent Care Clinic/Center
- Savannah, GA
- NPI 1922580133
-
- Urgent Care Clinic/Center
- Bluffton, SC
- NPI 1902468697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618272000000",
"number": "1548574338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 MOHAWK ST STE E",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314191768",
"telephone_number": "912-925-0067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 HILLCREST PKWY",
"city": "DUBLIN",
"state": "GA",
"postal_code": "31021",
"telephone_number": "478-277-0214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "CANDICE",
"middle_name": "T",
"credential": "RN NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-04",
"last_updated": "2021-04-13",
"certification_date": "2021-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN168119",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN168119",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "crogers@gscc.encitedirect.com",
"affiliation": "N",
"address_1": "900 Mohawk St Ste E",
"city": "Savannah",
"state": "GA",
"country_code": "US",
"postal_code": "314191768",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dublin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.