Individual provider Active NPI

Erica Stich Rogers, M.D.

  • Pediatrics Physician
  • Shelbyville, TN
National Provider Identifier
1871611293
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
46009 Issued in TN
Practice address
1612 N Main St
Suite B
Shelbyville, TN 37160-2391
Phone
(931) 685-2022
Fax
(931) 492-4355
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 46009 TN Primary

Addresses

Primary practice location

1612 N Main St
Suite B
Shelbyville, TN 37160-2391

Mailing address

880 Colloredo Blvd
Shelbyville, TN 37160-2774
Phone (931) 685-8111

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address erica.rogers.2@1597.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20101006000887 TN Practitioner - Pediatric Medicine 5698967800 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upperline Healthcare, PC CurrentSince Sep 26, 2025 Accepting new patients
Vanderbilt Bedford Hospital, LLC Pediatrics CurrentSince Jan 1, 2021 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 26, 2025 Accepting new patients
Christian Family Medicine, LLC CurrentSince Jul 1, 2021 Accepting new patients
Sunrise Pediatrics, LLC. Past Accepting new patients

Locations

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

79 Highway 51 S
Ripley, TN 38063
Phone (731) 635-8189

1612 N Main St
Ste B
Shelbyville, TN 37160
Phone (931) 685-2022

1401 Madison St
Shelbyville, TN 37160
Phone (931) 294-8464

880 Colloredo Blvd
Shelbyville, TN 37160
Phone (931) 685-8111

2017 S College St
#C
Trenton, TN 38382
Phone (731) 222-5000

715 Kings Ln
Tullahoma, TN 37388
Phone (931) 454-9411

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1871611293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 COLLOREDO BLVD",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371602774",
            "telephone_number": "931-685-8111",
            "fax_number": "931-685-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 N MAIN ST",
            "address_2": "SUITE B",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371602391",
            "telephone_number": "931-685-2022",
            "fax_number": "931-492-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "ERICA",
        "middle_name": "STICH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "46009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "erica.rogers.2@1597.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1612 N Main St",
            "address_2": "Suite B",
            "city": "Shelbyville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "371602391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shelbyville, TN

Sources for this page

Verify at the official NPI Registry.