Individual provider Active NPI

Jefferson Rogers, M.D.

  • Psychiatry Physician
  • Sumrall, MS
National Provider Identifier
1851824015
Registry record updated Feb 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
30910 Issued in MS
Practice address
1481 Grantham Rd
Sumrall, MS 39482-4089
Phone
(601) 517-2789
NPI assigned
Apr 5, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 30910 MS Primary

Addresses

Primary practice location

1481 Grantham Rd
Sumrall, MS 39482-4089

Mailing address

1481 Grantham Rd
Sumrall, MS 39482-4089
Phone (601) 517-2789

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230711000026 MS Practitioner - Psychiatry 2961808779 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Mississippi School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Forrest County General HospitalGroup PAC ID 1052397767, 107 clinicians
Doxa Counseling ServicesGroup PAC ID 8729430228, 4 clinicians

Practice addresses (Care Compare)

1 Lincoln Pkwy
Hattiesburg, MS 39402-3262
Phone (601) 288-8050

141 Township Ave
Suite 303
Ridgeland, MS 39157-8699
Phone (601) 228-1121

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Forrest County General Hospital CurrentSince May 1, 2023 Accepting new patients
Mississippi State Hospital CurrentSince Sep 15, 2024 Accepting new patients
Mississippi State Hospital at Whitfield Current Accepting new patients
Forrest County General Hospital CurrentSince May 1, 2023 Accepting new patients
Jeffersonr LLC Psychiatry CurrentSince Oct 1, 2023 Accepting new patients
Forrest County General Hospital Current Accepting new patients
Mississippi State Hospital at Whitfield CurrentSince Sep 15, 2024 Accepting new patients
Doxa Counseling Services CurrentSince Nov 21, 2023 Accepting new patients

Locations

1 Lincoln Pkwy
Ste 202
Hattiesburg, MS 39402
Phone (601) 288-8050

2117 Broadway Dr
Hattiesburg, MS 39402
Phone (601) 288-8050

141 Township Ave
Ste 303
Ridgeland, MS 39157
Phone (601) 228-1121

3550 Highway 468 W
#B24
Whitfield, MS 39193

3550 Highway 468 W
#B60
Whitfield, MS 39193

3550 Highway 468 W
Whitfield, MS 39193

Organizations & group practices 8

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 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": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676678400000",
    "number": "1851824015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1481 GRANTHAM RD",
            "city": "SUMRALL",
            "state": "MS",
            "postal_code": "394824089",
            "telephone_number": "601-517-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 GRANTHAM RD",
            "city": "SUMRALL",
            "state": "MS",
            "postal_code": "394824089",
            "telephone_number": "601-517-2789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "JEFFERSON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-05",
        "last_updated": "2023-02-18",
        "certification_date": "2023-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MS",
            "license": "30910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumrall, MS

Sources for this page

Verify at the official NPI Registry.