Individual provider Active NPI

Robin Rodgers, MD

  • Family Medicine Physician
  • Cartersville, GA
National Provider Identifier
1811958309
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
035316 Issued in GA
Practice address
40 Fox Chase
Cartersville, GA 30120-2491
Phone
(770) 382-0185
Fax
(770) 382-0247
NPI assigned
Apr 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 035316 GA Primary

Addresses

Primary practice location

40 Fox Chase
Cartersville, GA 30120-2491

Mailing address

PO Box 2016
Cartersville, GA 30120-1684
Phone (770) 382-0185

Other identifiers 1

IdentifierTypeStateIssuer
00529878BMedicaidGA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040405000316 GA Practitioner - Family Practice 5698767408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Virginia Commonwealth University, School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Care of Cartersville PCGroup PAC ID 3173515970, 2 clinicians

Practice addresses (Care Compare)

40 Fox Chase
Cartersville, GA 30120-2491
Phone (770) 382-0185

Hospital & facility affiliations

  • Coosa Valley Home Health, an Amedisys Home health agency, Rome, GA, CCN 117041
  • Piedmont Cartersville Medical Center Hospital, Cartersville, GA, CCN 110030
  • Wellstar Kennestone Regional Medical Center Hospital, Marietta, GA, CCN 110035
  • Wellstar Paulding Medical Center Hospital, Hiram, GA, CCN 110042

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
035316GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endocrine Specialists of Georgia, LLC PastSince Nov 8, 2020 Accepting new patients

Organizations & group practices 2

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 4

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": "1143849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1811958309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2016",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301201684",
            "telephone_number": "770-382-0185",
            "fax_number": "770-382-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 FOX CHASE",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202491",
            "telephone_number": "770-382-0185",
            "fax_number": "770-382-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "ROBIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-01",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "035316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00529878B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

Verify at the official NPI Registry.