Individual provider Active NPI

Joshua James Rogers, PA-C

  • Medical Physician Assistant
  • Florence, AL
National Provider Identifier
1962910026
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA.1524 Issued in AL
Practice address
2908 Mall Rd
Florence, AL 35630-1641
Phone
(256) 767-2702
Fax
(256) 718-6047
NPI assigned
Jan 10, 2018
Last updated
Feb 6, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2149 WV
Medical Physician Assistant 363AM0700X PA.1524 AL Primary

Addresses

Primary practice location

2908 Mall Rd
Florence, AL 35630-1641

Mailing address

2908 Mall Rd
Florence, AL 35630-1641
Phone (256) 767-2702

Other identifiers 1

IdentifierTypeStateIssuer
PA.1524OtherALMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180612001376 WV Practitioner - Physician Assistant 4981959103 Reassigns benefits to 2 organizations
I20200309000964 AL Practitioner - Physician Assistant 4981959103 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2149WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Association CurrentSince Nov 2, 2018 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Apr 22, 2018 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Apr 22, 2018 Accepting new patients
Community Health Association Past Accepting new patients

Locations

3100 Maccorkle Ave SE
Ste 203
Charleston, WV 25304
Phone (304) 345-8820

3200 Maccorkle Ave SE
Ste B16
Charleston, WV 25304
Phone (304) 388-5848

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

122 Pinnell St
Ripley, WV 25271
Phone (304) 373-1544

Organizations & group practices 8

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": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1962910026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2908 MALL RD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301641",
            "telephone_number": "256-767-2702",
            "fax_number": "256-718-6047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 MALL RD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301641",
            "telephone_number": "256-767-2702",
            "fax_number": "256-718-6047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "JOSHUA",
        "middle_name": "JAMES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-10",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WV",
            "license": "2149",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AL",
            "license": "PA.1524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "PA.1524",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.