Active NPI
Jefferson Rogers, M.D.
- Psychiatry Physician
- Sumrall, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 30910
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forrest County General Hospital | Current | Accepting new patients | |
| Mississippi State Hospital | Current | Accepting new patients | |
| Mississippi State Hospital at Whitfield | Current | Accepting new patients | |
| Forrest County General Hospital | Current | Accepting new patients | |
| Jeffersonr LLC | Psychiatry | Current | Accepting new patients |
| Forrest County General Hospital | Current | Accepting new patients | |
| Mississippi State Hospital at Whitfield | Current | Accepting new patients | |
| Doxa Counseling Services | Current | 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.
-
- Professional Counselor
- Ridgeland, MS
- NPI 1609531458
-
- Psychiatric Hospital Unit
- Hattiesburg, MS
- NPI 1295837631
-
dba Mississippi State Hospital Community Services Mental Health
- Mental Illness Community Based Residential Treatment Facility
- Jackson, MS
- NPI 1336224179
-
- Psychiatry Physician
- Laurel, MS
- NPI 1134908072
-
dba Highland Center for Women's Health RHC
- Rural Health Clinic/Center
- Picayune, MS
- NPI 1043820426
-
dba Family Medicine Residency Clinic
- Family Medicine Physician
- Hattiesburg, MS
- NPI 1699267625
-
dba Lighthouse Medical Clinic
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Jackson, MS
- NPI 1134366867
-
- General Practice Physician
- Whitfield, MS
- NPI 1982620712
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hattiesburg, MS
- NPI 1225041809
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.