JACK A. ROGERS JR. M.D.
NPI 1679571988
Pediatrics in Cedartown, GA

Q: What is Jack Rogers's NPI number?

The NPI number for Jack Rogers is 1679571988. It was assigned to this individual provider in the NPPES registry on July 11, 2005.

Q: What is Jack Rogers's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Rogers was last updated on December 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 11, 2005

114 PLANTATION AVE, CEDARTOWN, GA 30125(678) 901-0717(678) 901-0718 Get Directions Write a Review

NPPES record last updated: December 1, 2011. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Jack A. Rogers Jr. M.d. NPPES

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

JACK A. ROGERS JR. M.D. (NPI 1679571988) is an individual pediatrics provider in Cedartown, Georgia, licensed in Georgia (GA 017875) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1679571988

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameJACK A. ROGERS JR.Credential: M.D.

Location Address114 PLANTATION AVECedartown, GA 30125-2370

Mailing Address114 Plantation AveCedartown, GA 30125-2370 · (678) 901-0717 · Fax (678) 901-0718

Phone(678) 901-0717

Fax(678) 901-0718

Sole ProprietorNo

Enumeration DateJuly 11, 2005

Last NPPES UpdateDecember 1, 2011

✔ NPI 1679571988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in GA · GA 017875

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

114 PLANTATION AVE, Cedartown, GA 30125

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Other Identifiers 3

Medicaid625778716BGA

Medicare UPIND40996

Medicare ID-Type Unspecified37BBGKX

Other Providers at the Same Location NPPES 3

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

CEDAR CREEK PEDIATRICS

Pediatrics

114 PLANTATION AVE
CEDARTOWN, GA 30125

Polk County (706) 234-8419

MS. PAMELA JO EVANS FNP

Nurse Practitioner (Family)

114 PLANTATION AVE
CEDARTOWN, GA 30125

Polk County (678) 901-0717

SARA BRABSON ROGERS M.D.

Pediatrics

114 PLANTATION AVE
CEDARTOWN, GA 30125

Polk County (678) 901-0717

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 Jack Rogers's NPI number?

The NPI number for Jack Rogers is 1679571988. It was assigned to this individual provider in the NPPES registry on July 11, 2005.

Where is Jack Rogers located?

Jack Rogers practices at 114 Plantation Ave, Cedartown, GA 30125. The listed phone number is (678) 901-0717.

What is Jack Rogers's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Jack Rogers was last updated on December 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.