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THE RODERIQUE CENTRE FOR HAND AND UPPER EXTREMITY SURGERY
NPI 1619998721
Orthopaedic Surgery - Hand Surgery in Atlanta, GA

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: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About The Roderique Centre For Hand And Upper Extremity Surgery NPPES

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

THE RODERIQUE CENTRE FOR HAND AND UPPER EXTREMITY SURGERY (NPI 1619998721) is a healthcare organization registered as a hand surgery in Atlanta, Georgia and active in the NPI registry since July 2006. The organization lists Carol T. Caudell, Administrator, as its authorized official.

NPPES Registry Identity

NPI1619998721
Entity TypeOrganization
Primary Taxonomy207XS0106X
Legal Business NameJIM W. RODERIQUE, M.D., P.C.
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
Organization SubpartNo
Authorized OfficialCarol T. CaudellAdministrator · (404) 872-4263
Enumeration DateJuly 22, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1619998721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
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 Names 1

Doing Business AsThe Roderique Centre For Hand And Upper Extremity Surgery

Other Identifiers 1

Medicaid55002692AGA

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

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.

DR. JIM W RODERIQUE M.D.
Orthopaedic Surgery (Hand Surgery)
955 SPRING ST NW
ATLANTA, GA 30309
Fulton County (404) 872-4263
MRS. DAWN IRENE BOWEN OTR L CHT
Occupational Therapist (Hand)
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 W. Roderique, M.D., P.C.'s NPI number?

The NPI number for Jim W. Roderique, M.D., P.C. is 1619998721. It was assigned to this organization in the NPPES registry on July 22, 2006. The provider is doing business as The Roderique Centre For Hand And Upper Extremity Surgery.

Where is Jim W. Roderique, M.D., P.C. located?

Jim W. Roderique, M.D., P.C. is located at 955 Spring St NW, Atlanta, GA 30309. The listed phone number is (404) 872-4263.

What is Jim W. Roderique, M.D., P.C.'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 W. Roderique, M.D., P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.