Phillip Eric Rodgers, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Durant, MS
NPI 1619700481 · NPPES record last updated Oct 20, 2025
Key facts
- NPI
- 1619700481
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 906890 (MS)
- Practice address
- 630 Northwest Ave
Durant, MS 39063-3337 - Phone
- (662) 653-3011
- NPI assigned
- Aug 26, 2024
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
630 Northwest Ave
Durant, MS 39063-3337
Phone (662) 653-3011
Hospital & facility affiliations
- Sta Home Health Agency of Jackson, Inc. Dba Accentcare Home Health of Jackson
- Accentcare Home Health of Carthage
- Mississippi Homecare of Eupora
- Baptist Medical Center Attala
- Holmes County Hospital and Clinics
- Mississippi Baptist Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240920003104 | MS | Practitioner - Nurse Practitioner | 9830630516 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rodgers Medical Clinic | Current |
Accepting new patients | |
| Premier Medical Group of Mississippi LLC | Past | Accepting new patients |
Locations
630 Northwest Ave
Durant, MS 39063
Phone (662) 653-3011
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 906890 | MS | Yes |
Addresses
Primary practice location
630 Northwest Ave
Durant, MS 39063-3337
Mailing address
13418 Attala Road 4101
Sallis, MS 39160-5242
Phone (601) 613-7835
Other providers in Durant, MS
- Peace Wellness Mobile Unit
- Tiffany Denice Redd
- Bonita T Roby
- Daryl Roby
- Rodgers Medical Clinic
- S&M Medical Clinic
- Shannon Pritchard
- Wirt Fletcher Shrock Jr.
- Marilyn Smith
- Henrietta Stewart
All providers in Durant, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.