CANON TATE ROOKER PA
NPI 1669130852
Physician Assistant in Sandy Springs, GA

Active since December 04, 2021PECOS EnrolledAccepts Medicare Assignment
98.5/100
CMS Quality Rating
1150 HAMMOND DR STE 400, SANDY SPRINGS, GA 30328(404) 256-2633 Get Directions Write a Review

NPPES record last updated: December 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Canon Tate Rooker Pa NPPES

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

CANON TATE ROOKER PA (NPI 1669130852) is an individual physician assistant in Sandy Springs, Georgia and active in the NPI registry since December 2021. He is enrolled in Medicare PECOS, is affiliated with Piedmont Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1669130852
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCANON TATE ROOKERCredential: PA
Location Address1150 HAMMOND DR STE 400Sandy Springs, GA 30328-8617
Mailing Address13153 Old Hickory Blvd Apt 822Antioch, TN 37013-4984 · (912) 312-2319
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 4, 2021
NPPES CertifiedDecember 4, 2021
NPI 1669130852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1150 HAMMOND DR STE 400, Sandy Springs, GA 30328

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Canon Tate Rooker Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395130496
PECOS Enrollment IDI20220325002070
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048
This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.
26 services14 patients
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047
This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110083
Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County
Emergency services Birthing friendly

Piedmont Fayette Hospital

Acute Care Hospitals · Fayetteville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110215
Location1255 Highway 54 WestFayetteville, GA 30214 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30328 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40

Other Providers at the Same Location NPPES 9

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

Orthopaedic Surgery
1150 HAMMOND DR STE 400
SANDY SPRINGS, GA 30328
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
1150 HAMMOND DR STE 400
SANDY SPRINGS, GA 30328
Durable Medical Equipment & Medical Supplies
1150 HAMMOND DR STE 400
ATLANTA, GA 30328
Orthopaedic Surgery
1150 HAMMOND DR STE 400
ATLANTA, GA 30328
Physician Assistant
1150 HAMMOND DR STE 400
SANDY SPRINGS, GA 30328
Physician Assistant
1150 HAMMOND DR STE 400
ATLANTA, GA 30328
Electrodiagnostic Medicine
1150 HAMMOND DR STE 400
ATLANTA, GA 30328
Physician Assistant (Medical)
1150 HAMMOND DR STE 400
ATLANTA, GA 30328

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 Canon Rooker's NPI number?

The NPI number for Canon Rooker is 1669130852. It was assigned to this individual provider in the NPPES registry on December 4, 2021.

Where is Canon Rooker located?

Canon Rooker practices at 1150 Hammond Dr Ste 400, Sandy Springs, GA 30328. The listed phone number is (404) 256-2633.

What is Canon Rooker's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Canon Rooker enrolled in Medicare?

Yes. Canon Rooker is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Canon Rooker affiliated with any hospitals?

According to CMS data, Canon Rooker is affiliated with Piedmont Hospital and Piedmont Fayette Hospital.

When was this NPI record last updated?

The NPPES record for Canon Rooker was last updated on December 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.