Individual provider Active NPI

Edgar Ivan Rojas, PA-C

  • Physician Assistant
  • Jasper, AL
National Provider Identifier
1780306365
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.2413 Issued in AL
Practice address
87 19TH St W Ste 300
Jasper, AL 35501-5430
Phone
(205) 221-3606
Fax
(659) 675-2225
NPI assigned
Sep 12, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 11217 GA
Physician Assistant 363A00000X PA.2413 AL Primary

Addresses

Primary practice location

87 19TH St W Ste 300
Jasper, AL 35501-5430

Mailing address

87 19TH St W Ste 300
Jasper, AL 35501-5430
Phone (205) 221-3606

Other practice location 1

1120 15th St
Augusta, GA 30912-0004
Phone (706) 721-8623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221108003047 GA Practitioner - Physician Assistant 8325415144 Reassigns benefits to 2 organizations
I20240801003139 AL Practitioner - Physician Assistant 8325415144 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Centers LLCGroup PAC ID 3476457011, 184 clinicians

Practice addresses (Care Compare)

1130 22ND St S
Suite 1000
Birmingham, AL 35205-2881
Phone (205) 518-8849

3400 Hwy 78 E
Jasper, AL 35501-8956
Phone (205) 387-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.2413ALMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince Sep 1, 2023 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Sep 1, 2023 Accepting new patients
Au Medical Associates Inc CurrentSince Oct 28, 2022 Accepting new patients
Baptist Health Centers LLC CurrentSince Sep 1, 2025 Accepting new patients
Southern Orthopaedic Alliance PLLC CurrentSince Jul 1, 2024 Accepting new patients
Au Medical Associates Inc CurrentSince Oct 28, 2022 Accepting new patients
Southern Orthopaedic Alliance, PLLC CurrentSince Jul 1, 2024 Accepting new patients
Baptist Health Centers, LLC Past Accepting new patients

Locations

1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849

87 19th St W
Ste 300
Jasper, AL 35501
Phone (205) 221-3606

831 Hillcrest Rd
Mobile, AL 36695
Phone (251) 633-4949

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

1120 15th St
#6000
Augusta, GA 30912
Phone (706) 721-3813

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1780306365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 19TH ST W STE 300",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355015430",
            "telephone_number": "205-221-3606",
            "fax_number": "659-675-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 19TH ST W STE 300",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355015430",
            "telephone_number": "205-221-3606",
            "fax_number": "659-675-2225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 15th St",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309120004",
            "country_code": "US",
            "telephone_number": "706-721-8623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROJAS",
        "first_name": "EDGAR",
        "middle_name": "IVAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-12",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "11217",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA.2413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, AL

Sources for this page

Verify at the official NPI Registry.