Active NPI
Cori Lyn Rogers, MSN, RN, CPNP
- Pediatric Nurse Practitioner
- Johns Island, SC
National Provider Identifier
1982707501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 3394
- Practice address
- 3312 Maybank Hwy Ste B
Johns Island, SC 29455-4818 - Phone
- (843) 894-3490
- Fax
- (334) 506-0228
- NPI assigned
- Sep 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 3394 | SC | Primary |
| Pediatric Nurse Practitioner | 363LP0200X | APN0000011110 | TN |
Addresses
Primary practice location
3312 Maybank Hwy Ste B
Johns Island, SC 29455-4818
Mailing address
3312 Maybank Hwy Ste B
Johns Island, SC 29455-4818
Phone (843) 894-3490
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3394 | SC | MD | Pediatric Nurse Practitioner |
| APN0000011110 | TN | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angel Oak Pediatrics LLC | Past | Accepting new patients |
Interoperability endpoints
- cori.rogers.1@30388.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Johns Island, SC
- NPI 1265207229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754956800000",
"number": "1982707501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3312 MAYBANK HWY STE B",
"city": "JOHNS ISLAND",
"state": "SC",
"postal_code": "294554818",
"telephone_number": "843-894-3490",
"fax_number": "334-506-0228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3312 MAYBANK HWY STE B",
"city": "JOHNS ISLAND",
"state": "SC",
"postal_code": "294554818",
"telephone_number": "843-894-3490",
"fax_number": "334-506-0228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "CORI",
"middle_name": "LYN",
"name_prefix": "Ms.",
"credential": "MSN, RN, CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-07",
"last_updated": "2025-08-12",
"certification_date": "2025-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "SC",
"license": "3394",
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TN",
"license": "APN0000011110",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johns Island, SC
- John S Rhodes, RN
- Lewis Stephen Rice-Boyd, DNP, APRN, PMHNP-BC
- Richey Counseling LLC
- Devon Carn Rinaldi
- Brittney Rodriguez, MD
- Roots Pediatric Physical Therapy, LLC
- Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners Colorectal Surgery)
- Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners Primary Care)
- Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners Primary Care)
- Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners Signature Primary Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.