Samuel Thomas Rolley, CNMT

Primary specialty

Nuclear Medicine Technology Radiologic TechnologistTaxonomy code 2471N0900X

License

022395 Issued in GA

Practice address

795 N Belair Rd
Evans, GA 30809-4258

Phone

(912) 604-3889

NPI assigned

Jan 15, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200355200000",
    "number": "1659557122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 514",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308090514",
            "telephone_number": "912-604-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 N BELAIR RD",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308094258",
            "telephone_number": "912-604-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLEY",
        "first_name": "SAMUEL",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "CNMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471N0900X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Nuclear Medicine Technology",
            "state": "GA",
            "license": "022395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Jade Rogers, FNP-C
• Rebecca Rogers, PHD
• Steven Gregory Rogers, M.D.
• Tracey Mayer Rogers, PT
• Casey N Roland, O.D.
• Amy B Ross, OTR/L
• Blake Taylor Ross, DMD
• Mary Ross
• Miranda R. Ross, AU.D.
• Brittany Nicole Rossini, RBT

• Radiologic Technologist in Evans, GA
• Providers in Evans, GA by specialty
• Radiologic Technologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.