Active NPI
Tate M Rogers, MD
- Family Medicine Physician
- Galax, VA
National Provider Identifier
1740489343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101030999
- Practice address
- 961 E Stuart Dr
Galax, VA 24333-2407 - Phone
- (276) 236-9953
- Fax
- (276) 236-6084
- NPI assigned
- Jul 13, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101030999 | VA | Primary |
Addresses
Primary practice location
961 E Stuart Dr
Galax, VA 24333-2407
Mailing address
961 E Stuart Dr
Galax, VA 24333-2407
Phone (276) 236-9953
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2007211081 | Medicaid | VA | |
| C05711 | Other | MEDICARE GROUP # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Twin County Physician Practices LLC | Past | Accepting new patients | |
| Emcare Physician Providers, Inc. | Past | Accepting new patients | |
| Twin County Family Care Centers Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
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-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202774400000",
"number": "1740489343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "961 E STUART DR",
"city": "GALAX",
"state": "VA",
"postal_code": "243332407",
"telephone_number": "276-236-9953",
"fax_number": "276-236-6084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "961 E STUART DR",
"city": "GALAX",
"state": "VA",
"postal_code": "243332407",
"telephone_number": "276-236-9953",
"fax_number": "276-236-6084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "TATE",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-13",
"last_updated": "2008-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101030999",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2007211081",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP #",
"identifier": "C05711",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Galax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.