Rodney B Rodgers


Address: 5024 Raymond Ave, Tupelo, MS 38801-8671

Rodney B Rodgers (NPI# 1871875831, PAC ID# 6103079124) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1871875831
PAC ID by PECOS 6103079124
Professional Enrollment ID I20121226000193
Full Name Rodney B Rodgers
Address 5024 Raymond Ave
Tupelo
MS 38801-8671
Gender M
Graduation Year 2011
Primary Specialty NURSE PRACTITIONER
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
250004 NORTH MISSISSIPPI MEDICAL CENTER

Other Locations

Address Phone Organization
1424 E Main St, East Main Family Medical Clinic, Tupelo, MS 38804-2956
1424 E Main St, Tupelo, MS 38804-2956 6623503550 EAST MAIN FAMILY MEDICAL CLINIC, LLC
5024 Raymond Ave, Tupelo, MS 38801-8671

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Office Location

Street Address 5024 RAYMOND AVE
City TUPELO
State MS
Zip 38801-8671

Physicians in the same zip code

Name Specialty Organization Address
Douglas Porter Anderson Physician Assistant 1514 Cr, 41 Magnolia Manor At Tupelo, Tupelo, MS 38801
Sylvia Blanchard Nurse Practitioner 109 Parkgate, Tupelo, MS 38801
Lloyd Perry Britt Jr. Optometry 2270 W Main, Suite A, Tupelo, MS 38801-3144
Katie Elizabeth Richardson Optometry 2005 W Main St, Suite 102, Tupelo, MS 38801-3214
Rickey H Bullard Podiatry 1902 W Main St, Tupelo, MS 38801-3228
Chika Uchechukwu Iwueke Psychiatry 1601 W Main St, Suite D, Tupelo, MS 38801-3300
James Byron Shipp Ophthalmology 1413 W Main St, Tupelo, MS 38801-3400
Michelle M Hill Qualified Speech Language Pathologist Ear, Nose and Throat Physicians of North Miss., P.a 323 N Gloster St, Tupelo, MS 38801-3623
Janet H Smith Physical Therapy Ear, Nose and Throat Physicians of North Miss., P.a 323 N Gloster St, Tupelo, MS 38801-3623
Lee A Stewart Physical Therapy Ear, Nose and Throat Physicians of North Miss., P.a 323 N Gloster St, Tupelo, MS 38801-3623
Find all physicians in zip 38801

Competitor

Search similar physicians

City TUPELO
Zip Code 38801
Specialty NURSE PRACTITIONER
City + Specialty TUPELO + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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