Active NPI
Rogers Dermatology, PA
- Procedural Dermatology Physician
- Greenville, SC
National Provider Identifier
1912950775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Procedural Dermatology Physician
- License
- 6924
- Legal business name
- ROGERS DERMATOLOGY, PA
- Practice address
- 3B Cleveland CT
Greenville, SC 29607-2414 - Phone
- (864) 351-0332
- Fax
- (864) 351-0373
- NPI assigned
- May 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nina C Godfrey
- Title
- Office Manager
- Phone
- (864) 351-0332
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Procedural Dermatology Physician | 207NS0135X | 6924 | SC | Primary |
Addresses
Primary practice location
3B Cleveland CT
Greenville, SC 29607-2414
Mailing address
3B Cleveland CT
Greenville, SC 29607-2414
Phone (864) 351-0332
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3B Cleveland Ct
Greenville, SC 29607
Phone (864) 232-0196
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Greenville, SC
- NPI 1659323111
-
- Dermatology Physician
- Greenville, SC
- NPI 1821529348
-
- MOHS-Micrographic Surgery Physician
- Greenville, SC
- NPI 1609891472
-
- Procedural Dermatology Physician
- Greenville, SC
- NPI 1215989587
-
- Nurse Practitioner
- Greenville, SC
- NPI 1699100446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1312416000000",
"number": "1912950775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3B CLEVELAND CT",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296072414",
"telephone_number": "864-351-0332",
"fax_number": "864-351-0373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3B CLEVELAND CT",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296072414",
"telephone_number": "864-351-0332",
"fax_number": "864-351-0373"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROGERS DERMATOLOGY, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-19",
"last_updated": "2011-08-04",
"status": "A",
"authorized_official_last_name": "GODFREY",
"authorized_official_first_name": "NINA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "864-351-0332"
},
"taxonomies": [
{
"code": "207NS0135X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology, Procedural Dermatology",
"state": "SC",
"license": "6924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.