Active NPI
Marcia Hager Rogers, EDS, PSYD
- Psychologist
- Roswell, GA
National Provider Identifier
1851439210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3241
- Practice address
- 814 Mimosa Blvd
BLDG. C
Roswell, GA 30075-4410 - Phone
- (770) 261-1783
- Fax
- (770) 650-2996
- NPI assigned
- Feb 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3241 | GA | Primary |
Addresses
Primary practice location
814 Mimosa Blvd
BLDG. C
Roswell, GA 30075-4410
Mailing address
3028 Haynes CV
Alpharetta, GA 30022-8283
Phone (404) 376-3920
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3241 | GA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317772800000",
"number": "1851439210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3028 HAYNES CV",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300228283",
"telephone_number": "404-376-3920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "814 MIMOSA BLVD",
"address_2": "BLDG. C",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300754410",
"telephone_number": "770-261-1783",
"fax_number": "770-650-2996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "MARCIA",
"middle_name": "HAGER",
"name_prefix": "Dr.",
"credential": "EDS, PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-01",
"last_updated": "2011-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "GA",
"license": "3241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.