Seaborn A Roddenbery V, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

063806 Issued in GA

Practice address

1900 10TH Ave
Ste 201
Columbus, GA 31901-3600

Phone

(706) 984-7400

Fax

(706) 984-7401

NPI assigned

Aug 5, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

General Surgery

Education

Medical College of Georgia School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Columbus Surgical Specialists, LLCGroup PAC ID 6103120670, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Piedmont Columbus Regional Northside Hospital, Columbus, GA, CCN 110200
• Piedmont Columbus Regional Midtown Hospital, Columbus, GA, CCN 110064
• St Francis Hospital- Emory Healthcare Hospital, Columbus, GA, CCN 110129

Merit-based Incentive Payment System (MIPS)

Final score

87.42 of 100Reported as individual

Quality

77.84

Promoting interoperability

100

Improvement activities

40

Cost

80.23

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12736/brand/1/csg/1/fhir/r4
• Direct secure messaging: seaborn.roddenbery@sfhga.gadirect.net
• Direct secure messaging: seaborn.roddenbery.1@12736.direct.athenahealth.com

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.

• Columbus Surgical Specialists, LLC

  • Surgery Physician
  • Columbus, GA
  • NPI 1326412420
  Medicare reassignment Care Compare group NPD
• St. Francis Physician Practices LLC

  • Family Medicine Physician
  • Columbus, GA
  • NPI 1326749417
  Medicare reassignment NPD
• St Francis Physician Practices LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Columbus, GA
  • NPI 1336514777
  NPD
• St. Francis Physician Practices LLC

  • Gastroenterology Physician
  • Columbus, GA
  • NPI 1609655646
  NPD
• St Francis Physician Practices LLC

  • Clinical Cardiac Electrophysiology Physician
  • Columbus, GA
  • NPI 1982079323
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hughston Hospital, Inc.

  • General Acute Care Hospital
  • Columbus, GA
  • NPI 1407082308
  Care Compare affiliation
• St Francis Health LLC

  • General Acute Care Hospital
  • Columbus, GA
  • NPI 1033228168
  Care Compare affiliation
• The Medical Center Inc

  • General Acute Care Hospital
  • Columbus, GA
  • NPI 1255401519
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466985600000",
    "number": "1861683989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 10TH AVE",
            "address_2": "SUITE 201",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319013600",
            "telephone_number": "706-984-7400",
            "fax_number": "706-984-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 10TH AVE",
            "address_2": "STE 201",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319013600",
            "telephone_number": "706-984-7400",
            "fax_number": "706-984-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODDENBERY",
        "first_name": "SEABORN",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "name_suffix": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2016-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "063806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "675260995",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1067717",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148772",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "202I024575",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yasheika Dreacus Robinson
• Matthew Cary Roche, DMD, MS
• David T Rock, M.D.
• Nola Rockemore
• Antoine Rockmore Sr.
• Charles Rodgers
• Charles L. Rodgers, MD
• Leon Rodgers Jr., EDD, MSW, MHDL, LCSW
• Sharda Kendra Rodgerwall, RBT
• James B Rodier, D.O.

• Surgery Physician in Columbus, GA
• Providers in Columbus, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.

Verify at the official NPI Registry.