Individual provider Active NPI

Peyton Lowery Rogers, NP

  • Nurse Practitioner
  • Waynesboro, MS
National Provider Identifier
1841575933
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R857420 Issued in MS
Practice address
940 Matthew Dr
Ste 2
Waynesboro, MS 39367-2573
Phone
(601) 671-8555
Fax
(601) 671-0777
NPI assigned
Oct 20, 2011
Last updated
Aug 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R857420 MS Primary

Addresses

Primary practice location

940 Matthew Dr
Ste 2
Waynesboro, MS 39367-2573

Mailing address

940 Matthew Dr
Ste 2
Waynesboro, MS 39367-2573
Phone (601) 671-8555

Other identifiers 1

IdentifierTypeStateIssuer
07783306MedicaidMS

Other names 1

  • Peyton Lowery Skinner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20111205000774 MS Practitioner - Nurse Practitioner 8426223363 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mississippi Family Medicine PCGroup PAC ID 8224116256, 3 clinicians

Practice addresses (Care Compare)

940 Matthew Dr
Suite 2
Waynesboro, MS 39367-2573
Phone (601) 671-8555

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Central Clinics, Inc CurrentSince Mar 1, 2014 Accepting new patients
Mississippi Family Medicine P C CurrentSince Feb 8, 2016 Accepting new patients
South Central Clinics, Inc CurrentSince Mar 1, 2014 Accepting new patients
South Central Clinics, Inc Current Accepting new patients

Locations

1203 B Ave
Ellisville, MS 39437
Phone (601) 477-8553

1220 Jefferson St
Laurel, MS 39440
Phone (601) 426-4000

940 Matthew Dr
Ste 2
Waynesboro, MS 39367
Phone (601) 671-8555

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: peytonskinner@mfmpc-ms.direct.office.nextgen.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1319068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1841575933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 MATTHEW DR",
            "address_2": "STE 2",
            "city": "WAYNESBORO",
            "state": "MS",
            "postal_code": "393672573",
            "telephone_number": "601-671-8555",
            "fax_number": "601-671-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 MATTHEW DR",
            "address_2": "STE 2",
            "city": "WAYNESBORO",
            "state": "MS",
            "postal_code": "393672573",
            "telephone_number": "601-671-8555",
            "fax_number": "601-671-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "PEYTON",
        "middle_name": "LOWERY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-20",
        "last_updated": "2025-08-15",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R857420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07783306",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PEYTON",
            "last_name": "SKINNER",
            "middle_name": "LOWERY",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waynesboro, MS

Sources for this page

Verify at the official NPI Registry.