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PERRY C. ROTHROCK III, M.D. PLLC
NPI 1619138377
Family Medicine in Cordova, TN

Active since June 24, 2008
8309 CORDOVA RD, CORDOVA, TN 38016(901) 757-9984(901) 757-0536 Get Directions Write a Review

NPPES record last updated: May 7, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Perry C. Rothrock Iii, M.d. Pllc NPPES

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

PERRY C. ROTHROCK III, M.D. PLLC (NPI 1619138377) is a healthcare organization registered as a family medicine in Cordova, Tennessee and active in the NPI registry since June 2008. The organization lists Perry Clyde Rothrock, Owner, as its authorized official.

NPPES Registry Identity

NPI1619138377
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePERRY C. ROTHROCK III, M.D. PLLC
Location Address8309 CORDOVA RDCordova, TN 38016-2046
Mailing Address8309 Cordova RdCordova, TN 38016-2046 · (901) 757-9984 · Fax (901) 757-0536
Phone(901) 757-9984
Fax(901) 757-0536
Organization SubpartNo
Authorized OfficialPerry Clyde RothrockOwner · (901) 757-9984
Enumeration DateJune 24, 2008
Last NPPES UpdateMay 7, 2015
✔ NPI 1619138377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TN · 37500
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
8309 CORDOVA RD, Cordova, TN 38016
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Other Identifiers 2

Medicare UPING02590TN
Medicare PIN3729650TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Perry C. Rothrock Iii, M.d. Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Perry C. Rothrock III, M.D. PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Perry Rothrock, M.D.
Family Practice
NPI 1023093655
8309 CORDOVA RD
Cordova, TN 38016
(901) 757-9984
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Perry C. Rothrock III, M.D. PLLC's NPI number?

The NPI number for Perry C. Rothrock III, M.D. PLLC is 1619138377. It was assigned to this organization in the NPPES registry on June 24, 2008.

Where is Perry C. Rothrock III, M.D. PLLC located?

Perry C. Rothrock III, M.D. PLLC is located at 8309 Cordova Rd, Cordova, TN 38016. The listed phone number is (901) 757-9984.

What is Perry C. Rothrock III, M.D. PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Perry C. Rothrock III, M.D. PLLC enrolled in Medicare?

Yes. Perry C. Rothrock III, M.D. PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Perry C. Rothrock III, M.D. PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Perry C. Rothrock III, M.D. PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Perry C. Rothrock III, M.D. PLLC was last updated on May 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.