Individual provider Active NPI

Christopher Jeffrey Charles Rodgman, M.D.

  • Psychiatry Physician
  • Alexandria, LA
National Provider Identifier
1861635849
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD.205436 Issued in LA
Practice address
44 Versailles Blvd
Alexandria, LA 71303-3960
Phone
(318) 445-5111
NPI assigned
Apr 7, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X MD.205436 LA Primary

Addresses

Primary practice location

44 Versailles Blvd
Alexandria, LA 71303-3960

Mailing address

PO Box 53709
Lafayette, LA 70505-3709
Phone (877) 294-7247

Other practice location 1

1440 Canal St
Tulane Psychiatry, TB53
New Orleans, LA 70112-2703
Phone (504) 988-4272

Other practice location 2

5448 Provine Pl Ste A
Alexandria, LA 71303-3983
Phone (318) 545-2451

Other practice location 3

217 Brevard Ct Ste C
Alexandria, LA 71303-3997
Phone (318) 545-2451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20160617000696 LA Practitioner - PsychiatryPractitioner - Addiction Medicine 1658662812 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jennifer W. Jones, LLCGroup PAC ID 2264759091, 3 clinicians

Practice addresses (Care Compare)

5920 Coliseum Blvd
Alexandria, LA 71303-3714
Phone (318) 443-9339

Hospital & facility affiliations

  • Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Professionals LLC CurrentSince Feb 4, 2023 Accepting new patients
Jennifer W Jones LLC CurrentSince Mar 1, 2022 Accepting new patients
Crossroads Regional Hospital, LLC CurrentSince Aug 3, 2017 Accepting new patients
Administrators of the Tulane Educational Fund Past Accepting new patients

Locations

44 Versailles Blvd
Alexandria, LA 71303
Phone (318) 441-0068

5920 Coliseum Blvd
Alexandria, LA 71303
Phone (318) 443-8547

501 W Saint Mary Blvd
Ste 308
Lafayette, LA 70506
Phone (337) 234-1119

5505 Shreveport Hwy
Pineville, LA 71360
Phone (318) 441-5900

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 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": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1861635849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53709",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705053709",
            "telephone_number": "877-294-7247",
            "fax_number": "866-990-8296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 VERSAILLES BLVD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033960",
            "telephone_number": "318-445-5111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1440 Canal St",
            "address_2": "Tulane Psychiatry, TB53",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701122703",
            "country_code": "US",
            "telephone_number": "504-988-4272",
            "fax_number": "504-988-4270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5448 Provine Pl Ste A",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "LA",
            "postal_code": "713033983",
            "country_code": "US",
            "telephone_number": "318-545-2451",
            "fax_number": "866-990-8296",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "217 Brevard Ct Ste C",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "LA",
            "postal_code": "713033997",
            "country_code": "US",
            "telephone_number": "318-545-2451",
            "fax_number": "866-990-8296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODGMAN",
        "first_name": "CHRISTOPHER",
        "middle_name": "JEFFREY CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-07",
        "last_updated": "2020-12-28",
        "certification_date": "2020-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "MD.205436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.