NPIMap

Individual provider Active NPI

Rogsbert F Phillips, M.D.

  • Surgery Physician
  • Lithonia, GA
National Provider Identifier
1912046707
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
023493 Issued in GA
Practice address
5910 Hillandale Dr
104
Lithonia, GA 30058-1884
Phone
(678) 418-3990
Fax
(678) 418-3995
NPI assigned
Feb 6, 2007
Last updated
Oct 5, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 023493 GA Primary

Addresses

Primary practice location

5910 Hillandale Dr
104
Lithonia, GA 30058-1884

Mailing address

5910 Hillandale Dr
104
Lithonia, GA 30058-1884
Phone (678) 418-3990

Other identifiers 1

IdentifierTypeStateIssuer
000245484AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040108000595 GA Practitioner - General Surgery 1153229000 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Columbia University College of Physicians and Surgeons, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Emory Specialty Associates, LLCGroup PAC ID 3476559782, 706 clinicians

Practice addresses (Care Compare)

1364 Clifton Rd NE
Atlanta, GA 30322-1059
Phone (404) 778-3900

5910 Hillandale Dr
Suite 104
Lithonia, GA 30058-1877
Phone (678) 418-3990

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy23
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Specialty Associates, LLC CurrentSince Dec 3, 2025 Accepting new patients
Metro Surgical Associates, Inc. Surgery CurrentSince Jul 1, 1966 Accepting new patients
Dekalb Anesthesia Associates, P a Past Accepting new patients

Locations

1364 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 712-7100

1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812

550 Peachtree St NE
Ste 1065
Atlanta, GA 30308

5910 Hillandale Dr
Ste 104
Lithonia, GA 30058
Phone (404) 275-3111

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GIHFBD/Endpoint/GIHFBD

Organizations & group practices 3

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 6

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1912046707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5910 HILLANDALE DR",
            "address_2": "104",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300581884",
            "telephone_number": "678-418-3990",
            "fax_number": "678-418-3995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 HILLANDALE DR",
            "address_2": "104",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300581884",
            "telephone_number": "678-418-3990",
            "fax_number": "678-418-3995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "ROGSBERT",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "023493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000245484A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithonia, GA

Sources for this page

Verify at the official NPI Registry.