Kerry C. Rodgers, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

067748 Issued in GA

Practice address

1701 Watson Blvd
Warner Robins, GA 31093-3633

Phone

(478) 923-0144

Fax

(478) 923-3471

NPI assigned

May 31, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

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

Specialty

General Surgery

Education

Wayne State University School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Houston Physician Specialists, LLCGroup PAC ID 6800172461, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Emory Houston Hospital Warner Robins Hospital, Warner Robins, GA, CCN 110069

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: krodgers@df9cb70a.micromddirect.com

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.

• Houston Physician Specialists, LLC.

  • Obstetrics & Gynecology Physician
  • Warner Robins, GA
  • NPI 1265189476
  Medicare reassignment Care Compare group NPD
• Magnolia Surgery, PC

  • Surgery Physician
  • Kathleen, GA
  • NPI 1982959615
  NPD (past) Authorized official
• Houston Physician Specialists, LLC

  • Surgery Physician
  • Warner Robins, GA
  • NPI 1407552102
  NPD
• Houston Physician Specialists, LLC

  • Neurology Physician
  • Warner Robins, GA
  • NPI 1699471383
  NPD
• Emory Specialty Associates, LLC

  • Anesthesiology Physician
  • Lagrange, GA
  • NPI 1407864168
  NPD (past)
• Radiology Associates of Houston County

  • Diagnostic Radiology Physician
  • Fort Valley, GA
  • NPI 1578571956
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Houston Hospitals Inc

  • General Acute Care Hospital
  • Perry, GA
  • NPI 1891808499
  Care Compare affiliation
• Houston Hospitals Inc

  • General Acute Care Hospital
  • Warner Robins, GA
  • NPI 1962435792
  Care Compare affiliation

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1669674909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 WATSON BLVD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933633",
            "telephone_number": "478-923-0144",
            "fax_number": "478-923-3471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 WATSON BLVD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933633",
            "telephone_number": "478-923-0144",
            "fax_number": "478-923-3471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "KERRY",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WV",
            "license": "23837",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "239120",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "067748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003128727A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003128727F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robins Total Care LLC
• Lindsey Marie Robinson
• Michelle Nicole Robinson, LCSW
• Samuel Robinson
• Shaketa Robinson
• Yanetsy Rodriguez Lopez
• Javielys Marie Rodriguez-Casiano, MD
• Xavier Rodriguez, RN
• Charlene Rogers, RN
• Marcus Davonte Rogers

• Surgery Physician in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.