DR. JIM W RODERIQUE M.D.
NPI 1205857307
Orthopaedic Surgery - Hand Surgery in Atlanta, GA

Q: What is Jim Roderique's NPI number?

The NPI number for Jim Roderique is 1205857307. It was assigned to this individual provider in the NPPES registry on July 22, 2006.

Q: What is Jim Roderique's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Q: When was this NPI record last updated?

The NPPES record for Jim Roderique was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 22, 2006

955 SPRING ST NW, ATLANTA, GA 30309(404) 872-4263(404) 873-2455 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jim W Roderique M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JIM W RODERIQUE M.D. (NPI 1205857307) is an individual hand surgery provider in Atlanta, Georgia, licensed in Georgia (024075) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1205857307

Entity TypeIndividualMale

Primary Taxonomy207XS0106X

Provider Legal NameDR. JIM W RODERIQUECredential: M.D.

Location Address955 SPRING ST NWAtlanta, GA 30309-3821

Mailing Address955 Spring St NwAtlanta, GA 30309-3821 · (404) 872-4263 · Fax (404) 873-2455

Phone(404) 872-4263

Fax(404) 873-2455

Sole ProprietorYes

Enumeration DateJuly 22, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1205857307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XS0106X

License✔ Licensed in GA · 024075

Definition

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

955 SPRING ST NW, Atlanta, GA 30309

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Other Identifiers 2

Medicare UPIND41811GA

Medicaid00257408BGA

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. DAWN IRENE BOWEN OTR L CHT

Occupational Therapist (Hand)

955 SPRING ST NW
ATLANTA, GA 30309

Fulton County (404) 872-4263

JIM W. RODERIQUE, M.D., P.C.

Orthopaedic Surgery (Hand Surgery)

955 SPRING ST NW
ATLANTA, GA 30309

Fulton County (404) 872-4263

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jim Roderique's NPI number?

The NPI number for Jim Roderique is 1205857307. It was assigned to this individual provider in the NPPES registry on July 22, 2006.

Where is Jim Roderique located?

Jim Roderique practices at 955 Spring St NW, Atlanta, GA 30309. The listed phone number is (404) 872-4263.

What is Jim Roderique's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

When was this NPI record last updated?

The NPPES record for Jim Roderique was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.