PHILLIP DALE ROGERS (NPI# 1629579081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629579081 |
| Entity Type | Individual |
| Full Name | PHILLIP DALE ROGERS |
| Practice Address |
536 Norville Dr Nw Resaca GA 30735-6174 |
| Practice Telephone | 7062803991 |
| Mailing Telephone | 7062803991 |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2018-02-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376J00000X | Homemaker | GA | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487677167 | Phillip Raymond Rogers | Family Medicine | 1776 Old Spring House Ln, Suite 200, Atlanta, GA 30338-6225 | 2006-07-25 |
| 1568470789 | Phillip Rogers | Nurse Practitioner | 1411 Piedmont Cutoff, Gadsden, AL 35903-2708 | 2006-08-03 |
| Street Address |
536 NORVILLE DR NW |
| City | RESACA |
| State | GA |
| Zip Code | 30735-6174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811416498 | Susan M Kirkland | Specialist/Technologist | 165 Jackson Dr, Resaca, GA 30735 | 2017-09-14 |
| 1316117120 | Amy Nicole Hallman | Specialist/Technologist | 365 Fog Rd Ne, Resaca, GA 30735 | 2008-03-07 |
| 1194077115 | Highland Rivers Community Service Board | Community/Behavioral Health | 3146 Maple Grove Church Rd, Resaca, GA 30735-5036 | 2012-10-15 |
| 1346591492 | Highland Rivers Community Service Board | Community/Behavioral Health | 2799 Maple Grove Church Rd, Resaca, GA 30735-5038 | 2012-09-28 |
| 1528300951 | Nataly Johana Greeson | Anesthesiology | 249 Fite Bend Rd Ne, Resaca, GA 30735-6305 | 2013-03-24 |
| 1013474733 | Julie E'lane Harmon | Physical Therapist | 189 Sisson Bnd Ne, Resaca, GA 30735-6332 | 2019-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013474733 | Julie E'lane Harmon | Physical Therapist | 189 Sisson Bnd Ne, Resaca, GA 30735-6332 | 2019-02-28 |
| 1811416498 | Susan M Kirkland | Specialist/Technologist | 165 Jackson Dr, Resaca, GA 30735 | 2017-09-14 |
| 1528300951 | Nataly Johana Greeson | Anesthesiology | 249 Fite Bend Rd Ne, Resaca, GA 30735-6305 | 2013-03-24 |
| 1194077115 | Highland Rivers Community Service Board | Community/Behavioral Health | 3146 Maple Grove Church Rd, Resaca, GA 30735-5036 | 2012-10-15 |
| 1346591492 | Highland Rivers Community Service Board | Community/Behavioral Health | 2799 Maple Grove Church Rd, Resaca, GA 30735-5038 | 2012-09-28 |
| 1316117120 | Amy Nicole Hallman | Specialist/Technologist | 365 Fog Rd Ne, Resaca, GA 30735 | 2008-03-07 |
| Taxonomy Code | 376J00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Homemaker |
| An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265042329 | Verntavius Jaymel Denham | Homemaker | 200 New St, Eatonton, GA 31024-7920 | 2020-08-04 |
| 1114542438 | Shanita Davis | Homemaker | 1245 Stoney Field Pl, Lawrenceville, GA 30043-3830 | 2020-06-11 |
| 1194348391 | Deirdre Dannette Womack | Homemaker | 221 Bordeaux Dr, Fayetteville, GA 30214-5301 | 2020-05-21 |
| 1891324042 | Magnolia Home Health, LLC Dba Home Instead Senior Care | Homemaker | 6709 Forest Park Drive, Suite B, Savannah, GA 31406 | 2020-04-08 |
| 1285279810 | Latisha Sonia Dollison | Homemaker | 985 Mount Zion Rd Apt 15c, Morrow, GA 30260-2256 | 2019-11-06 |
| 1558910786 | Marcia Pauly | Homemaker | 4035 Flintridge Dr, Stone Mountain, GA 30083-3122 | 2019-09-10 |
| 1174171862 | Mary Robson | Homemaker | 514 Raintree Hl, Peachtree City, GA 30269-2240 | 2019-08-27 |
| 1700433273 | Theresa Ann Cuyler | Homemaker | 5335 Glatigny St, Savannah, GA 31405-5013 | 2019-08-20 |
| 1760947113 | Alicia Tate | Homemaker | 8455 Highway 85 Ste A3, Riverdale, GA 30274-5115 | 2019-02-08 |
| 1043702277 | Wellone Homecare Services | Homemaker | 2302 Parklake Dr Ne Ste 144, Atlanta, GA 30345-2896 | 2018-06-04 |
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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.