Individual provider Active NPI

Rodney G Olinger, M.D.

  • Neurological Surgery Physician
  • Memphis, TN
National Provider Identifier
1942290739
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD14868 Issued in TN
Practice address
6325 Humphreys Blvd
Memphis, TN 38120-2300
Phone
(901) 522-7700
Fax
(901) 522-2550
NPI assigned
Oct 24, 2005
Last updated
Dec 11, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD14868 TN Primary

Addresses

Primary practice location

6325 Humphreys Blvd
Memphis, TN 38120-2300

Mailing address

6325 Humphreys Blvd
Memphis, TN 38120-2300
Phone (901) 522-7700

Other identifiers 1

IdentifierTypeStateIssuer
3000440MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20040708001302 AR Practitioner - Neurosurgery 8921086729 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD14868TNMDNeurological Surgery Physician
14868TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Bernards Physician Clinics, Inc. CurrentSince Apr 1, 2022 Accepting new patients
St Bernards Physician Clinics Inc Neurological Surgery Current Accepting new patients
St Bernards Physician Clinics Inc CurrentSince Apr 1, 2022 Accepting new patients
Semmes Murphey Clinic PC PastSince Jan 1, 1990 Accepting new patients
Jonesboro Neurosurgery Clinic, Inc Neurological Surgery Past Accepting new patients
Semmes-Murphey Clinic PC Neurological Surgery PastSince Jan 1, 1990 Accepting new patients

Locations

1005 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-1242

800 S Church St
Ste 201
Jonesboro, AR 72401
Phone (870) 934-1462

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/28653/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rodney.olinger.p6@direct.uthsc.nextgenshare.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1942290739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 HUMPHREYS BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202300",
            "telephone_number": "901-522-7700",
            "fax_number": "901-522-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 HUMPHREYS BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202300",
            "telephone_number": "901-522-7700",
            "fax_number": "901-522-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLINGER",
        "first_name": "RODNEY",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TN",
            "license": "MD14868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3000440",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.