JOI LIVINGSTON ROGERS (NPI# 1417396342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417396342 |
| Entity Type | Individual |
| Full Name | JOI LIVINGSTON ROGERS |
| Credential | M.D. |
| Practice Address |
200 Doctors Dr Suite 201 Douglas GA 31533-2201 |
| Mailing Address |
1100 Ward St Ext W Douglas GA 31533 |
| Practice Telephone | 9123849460 |
| Practice Fax Number | 9123931239 |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2017-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 006169 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICAL LICENSE | 075881 | 01 |
| GA | 003166378B | 05 |
| Street Address |
200 DOCTORS DR SUITE 201 |
| City | DOUGLAS |
| State | GA |
| Zip Code | 31533-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750374294 | Hemachandran P Nair | Internal Medicine | 200 Doctors Dr, Suite 106, Douglas, GA 31533-2201 | 2005-08-30 |
| 1760856405 | Crh Physician Practices LLC | General Practice | 200 Doctors Dr, Suite S, Douglas, GA 31533-2201 | 2015-11-18 |
| 1063832731 | Larissa Davis | Nurse Practitioner | 200 Doctors Dr, Ste 201, Douglas, GA 31533-2201 | 2014-04-22 |
| 1417388687 | Crh Physician Practices, LLC | Psychiatry & Neurology | 200 Doctors Dr, Suite L, Douglas, GA 31533-2201 | 2013-12-12 |
| 1477997278 | Phoebe Family Medicine,coffee County | Clinic/Center | 200 Doctors Dr, Ste 224, Douglas, GA 31533-2201 | 2013-04-23 |
| 1255682142 | Crh Physician Practices LLC | Pediatrics | 200 Doctors Dr, Ste 201, Douglas, GA 31533-2201 | 2012-10-02 |
| 1417207796 | Crh Physician Practices LLC | Urology | 200 Doctors Dr, Ste 220, Douglas, GA 31533-2201 | 2012-09-14 |
| 1427305507 | Debra Sharon Luke | Nurse Practitioner | 200 Doctors Dr, Suite 106, Douglas, GA 31533-2201 | 2012-08-08 |
| 1669745345 | South Georgia Eye Partners PC | Optometrist | 200 Doctors Dr, Suite 290, Douglas, GA 31533-2201 | 2012-02-11 |
| 1467724740 | Costrini & Meadows, PC | Internal Medicine | 200 Doctors Dr, Suite 112, Douglas, GA 31533-2201 | 2012-02-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508470964 | Swain Drug Company LLC | Pharmacy | 855 Bowens Mill Rd Sw Suite E, Douglas, GA 31533 | 2020-09-03 |
| 1811528649 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 211 North Street, Douglas, GA 31533 | 2020-01-30 |
| 1952940793 | Teresa Smith | Pharmacist | 901 W Ward St, Douglas, GA 31533 | 2019-12-26 |
| 1447641048 | Jennifer Spivey | Nurse Practitioner | 326 Shirley Avenue, Douglas, GA 31533 | 2015-02-18 |
| 1972914497 | Jessica Lynne Courson | Nurse Practitioner | 903 West Ward Street, Suite B, Douglas, GA 31533 | 2014-05-19 |
| 1063840296 | South Central Primary Care Center | Clinic/Center | 303 Shirley Ave, Ste B, Douglas, GA 31533 | 2013-10-25 |
| 1336411008 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 118 Coweta Avenue South, Douglas, GA 31533 | 2012-01-27 |
| 1346482700 | V and V Clinic | Pediatrics | 1020 West Bryan Street, Douglas, GA 31533 | 2009-04-01 |
| 1063650406 | Jayla Snipes Bullock | Speech-Language Pathologist | 618 Bowens Mill Road Sw, Douglas, GA 31533 | 2009-01-22 |
| 1417112707 | Southern Community Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 315 S. Gaskin Ave, Douglas, GA 31533 | 2008-07-25 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346482700 | V and V Clinic | Pediatrics | 1020 West Bryan Street, Douglas, GA 31533 | 2009-04-01 |
| 1326211152 | Carol Renee Williams | Pediatrics | 200 Doctors Dr Ste P, Douglas, GA 31533-2202 | 2008-04-13 |
| 1568496164 | Jonathan Paul Melk | Pediatrics | 815 E 15th Street, Douglas, AZ 85607-1631 | 2006-07-10 |
| 1144289760 | Milla Sergeerna Rosen | Pediatrics | 815 E 15th St, Douglas, AZ 85607-1631 | 2006-03-22 |
| 1609869114 | Dushyant J Patel | Pediatrics | 1020 Bryan St W, Douglas, GA 31533-2328 | 2005-08-30 |
| 1659379741 | Dyapa S Reddy | Pediatrics | 303b Shirley Ave, Douglas, GA 31533-2333 | 2005-07-12 |
| 1477940310 | Mai El Gasim | Pediatrics | 815 E 15th St, Douglas, AZ 85607-1631 | 2015-04-17 |
| 1710388954 | Claudia Patricia Pleitez Tecun | Pediatrics | 815 E 15th St, Douglas, AZ 85607-1631 | 2014-09-08 |
| 1235556168 | Jeffrey Richard Holzberg | Pediatrics | 815 E 15th St, Douglas, AZ 85607-1631 | 2014-03-28 |
| 1144560160 | Eduardo Antonio Marrero Velis | Pediatrics | 815 E 15th St, Douglas, AZ 85607-1631 | 2013-02-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.