Individual provider Active NPI

John Kitchener Rogers, CRNA

  • Certified Registered Nurse Anesthetist
  • Macon, GA
National Provider Identifier
1992708424
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN095473 CRNA Issued in GA
Practice address
110 Georgetown CT
Macon, GA 31210-3076
Phone
(478) 471-6672
NPI assigned
May 30, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN095473 CRNA GA Primary

Addresses

Primary practice location

110 Georgetown CT
Macon, GA 31210-3076

Mailing address

110 Georgetown CT
Macon, GA 31210-3076
Phone (478) 471-6672

Other identifiers 1

IdentifierTypeStateIssuer
0005470Z7DMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC, TN, KS, NY, WV6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20040325000620 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618869736 Reassigns benefits to 4 organizations
I20040603000537 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618869736 Reassigns benefits to 1 organization
I20040618000621 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618869736 Reassigns benefits to 1 organization
I20150115000840 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618869736 Reassigns benefits to 3 organizations
I20150812006475 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618869736 Reassigns benefits to 1 organization
I20200406000751 WV Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618869736 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN095473 CRNAGAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
West Tennessee Healthcare Henry County Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2020 Accepting new patients
Southwest Medical Center CurrentSince Oct 21, 2019 Accepting new patients
Mitchell County Hospital Health Systems Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2019 Accepting new patients
Premier Anesthesia of New York, P.C. Nurse Anesthetist, Certified Registered CurrentSince Jul 10, 2015 Accepting new patients
Triangle Anesthesia Group PSC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2023 Accepting new patients
Sentry Anesthesia Management, LLC CurrentSince Mar 27, 2023 Accepting new patients
Irwin County Anesthesia, Inc. Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2020 Accepting new patients
Henry County Medical Center CurrentSince Sep 1, 2020 Accepting new patients
Henry County Medical Center Current Accepting new patients
RG Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2024 Accepting new patients
Sweet Dreams Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2020 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 9, 2023 Accepting new patients
Southwest Medical Center CurrentSince Oct 21, 2019 Accepting new patients
Clinical Colleagues KS PA Nurse Anesthetist, Certified Registered CurrentSince Apr 24, 2024 Accepting new patients
Southwest Medical Center Current Accepting new patients
Sweet Dreams Nurse Anesthesia, Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients
Memorial Health Anesthetists Past Accepting new patients
Palmyra Professional Fees LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
The Presbyterian Hospital Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia Network Services, LLC Past Accepting new patients
Alta Anesthesia Associates of Georgia, PC Nurse Anesthetist, Certified Registered PastSince Nov 11, 2012 Accepting new patients
Anesthesia Care Enterprises, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

6262 Veterans Pkwy
Columbus, GA 31909
Phone (706) 494-3071

710 N Irwin Ave
Ocilla, GA 31774
Phone (229) 468-3800

11 John Maddox Dr NW
Rome, GA 30165
Phone (406) 295-3992

610 Sparta Rd
Sandersville, GA 31082
Phone (478) 240-2000

8 Stephenson Ave
Savannah, GA 31405
Phone (912) 354-2479

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

117 Kite Rd
Swainsboro, GA 30401
Phone (248) 972-8725

1948 Old Ocilla Rd
Ste B
Tifton, GA 31794
Phone (229) 386-5222

400 W 8th St
Beloit, KS 67420
Phone (785) 738-2266

629 S Plummer Ave
Chanute, KS 66720
Phone (316) 431-4000

3001 Avenue A
Dodge City, KS 67801
Phone (620) 225-8400

1102 Saint Marys Rd
Junction City, KS 66441
Phone (785) 238-0325

315 W 15th St
Liberal, KS 67901
Phone (620) 624-1651

529 Central Ave
Dunkirk, NY 14048
Phone (716) 338-9797

207 Foote Ave
Jamestown, NY 14701
Phone (716) 487-0141

2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141

301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220

4100 International Plz
Ste 800
Ft Worth, TX 76109
Phone (855) 373-6862

306 Stanaford Rd
Beckley, WV 25801
Phone (304) 255-3373

115 Summers Hospital Rd
Hinton, WV 25951
Phone (304) 466-2918

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/b673e6c7-c87b-498f-86b2-99b24c52c924/
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.240001
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.240000

Organizations & group practices 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1117411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1992708424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 GEORGETOWN CT",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312103076",
            "telephone_number": "478-471-6672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 GEORGETOWN CT",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312103076",
            "telephone_number": "478-471-6672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "JOHN",
        "middle_name": "KITCHENER",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-30",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN095473 CRNA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005470Z7D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.

Verify at the official NPI Registry.