Individual provider Active NPI

Roger Stewart Collins, MD

  • Plastic Surgery Physician
  • Cary, NC
National Provider Identifier
1710958004
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
2005-00353 Issued in NC
Practice address
2395 Kildaire Farm Rd
Cary, NC 27518-6689
Phone
(919) 535-9211
Fax
(919) 535-9215
NPI assigned
Jan 27, 2006
Last updated
Oct 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 2005-00353 NC Primary

Addresses

Primary practice location

2395 Kildaire Farm Rd
Cary, NC 27518-6689

Mailing address

2395 Kildaire Farm Rd
Cary, NC 27518-6689
Phone (919) 535-9211

Other practice location 1

8510 Colonnade Center Dr Ste 100
Raleigh, NC 27615-5862
Phone (919) 391-3750

Other practice location 2

1110 Mercantile Dr
Raleigh, NC 27609-6880
Phone (919) 535-9211

Other names 1

  • Dr. R. Stewart Collins Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20050518001163 NC Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 3577504646 Practice locations: Raleigh, NC

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Collins & Franklin Plastic Surgery Plastic Surgery Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1710958004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2395 KILDAIRE FARM RD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275186689",
            "telephone_number": "919-535-9211",
            "fax_number": "919-535-9215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2395 KILDAIRE FARM RD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275186689",
            "telephone_number": "919-535-9211",
            "fax_number": "919-535-9215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8510 Colonnade Center Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276155862",
            "country_code": "US",
            "telephone_number": "919-391-3750",
            "fax_number": "919-535-9215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1110 Mercantile Dr",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276096880",
            "country_code": "US",
            "telephone_number": "919-535-9211",
            "fax_number": "919-535-9215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "ROGER",
        "middle_name": "STEWART",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NC",
            "license": "2005-00353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "R.",
            "last_name": "COLLINS",
            "middle_name": "STEWART",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.