Individual provider Active NPI

Tosha Lacresha Rogers, D.O.

  • Obstetrics & Gynecology Physician
  • Atlanta, GA
National Provider Identifier
1649473497
Registry record updated Dec 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
64644 Issued in GA
Practice address
764 Memorial Dr SE Ste 101
Atlanta, GA 30316-1573
Phone
(678) 705-4900
Fax
(678) 705-5441
NPI assigned
Jun 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 64644 GA Primary

Addresses

Primary practice location

764 Memorial Dr SE Ste 101
Atlanta, GA 30316-1573

Mailing address

764 Memorial Dr SE Ste 101
Atlanta, GA 30316-1573
Phone (678) 705-4900

Other names 1

  • Dr. Tosha Lacresha Rogers Professional name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110928000169 GA Practitioner - Obstetrics/Gynecology 6204920143 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
64644GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Premier OB/GYN Associates, PC Single Specialty CurrentSince Oct 6, 2012 Accepting new patients

Locations

5835 Campbellton Rd SW
Ste 105
Atlanta, GA 30331
Phone (678) 705-4900

764 Memorial Dr SE
Ste 101
Atlanta, GA 30316
Phone (678) 705-4900

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1649473497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 MEMORIAL DR SE STE 101",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303161573",
            "telephone_number": "678-705-4900",
            "fax_number": "678-705-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 MEMORIAL DR SE STE 101",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303161573",
            "telephone_number": "678-705-4900",
            "fax_number": "678-705-5441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "TOSHA",
        "middle_name": "LACRESHA",
        "name_prefix": "Ms.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "64644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TOSHA",
            "last_name": "ROGERS",
            "middle_name": "LACRESHA",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.