ROGER L DECKER AGACNP-BC
NPI 1689154478
Nurse Practitioner - Acute Care in Southaven, MS

Q: What is Roger Decker's NPI number?

The NPI number for Roger Decker is 1689154478. It was assigned to this individual provider in the NPPES registry on August 21, 2018.

Q: What is Roger Decker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Roger Decker was last updated on September 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 August 21, 2018

55 PHYSICIANS LN, SOUTHAVEN, MS 38671(662) 655-2136 Get Directions Write a Review

NPPES record last updated: September 1, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 1, 2020, Jan 17, 2020, Aug 22, 2018 (3 updates tracked since 2018).

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About Roger L Decker Agacnp-bc NPPES

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

ROGER L DECKER AGACNP-BC (NPI 1689154478) is an individual acute care provider in Southaven, Mississippi, licensed in Mississippi (902736) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1689154478

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameROGER L DECKERCredential: AGACNP-BC

Location Address55 PHYSICIANS LNSouthaven, MS 38671-9569

Mailing Address55 Physicians LnSouthaven, MS 38671-9569 · (662) 655-2136

Phone(662) 655-2136

Sole ProprietorNo

Enumeration DateAugust 21, 2018

Last NPPES UpdateSeptember 1, 20203 updates tracked since enumeration

NPPES CertifiedSeptember 1, 2020

✔ NPI 1689154478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

Licenses✔ Licensed in MS · 902736✔ Licensed in TN · 24489

55 PHYSICIANS LN, Southaven, MS 38671

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Other Providers at the Same Location NPPES 4

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

SAMUEL GRADY PUTNAM MD

Radiology (Vascular & Interventional Radiology)

55 PHYSICIANS LN
SOUTHAVEN, MS 38671

Desoto County (662) 655-2136

MODERN VASCULAR OF SOUTHAVEN, LLC

Radiology (Vascular & Interventional Radiology)

55 PHYSICIANS LN
SOUTHAVEN, MS 38671

Desoto County (662) 655-2136

THE NEUROSURGICAL CENTER

Neurological Surgery

55 PHYSICIANS LN, SUITE 1
SOUTHAVEN, MS 38671

Desoto County (662) 349-5660

MICHAELINE BAILEY

Nurse Practitioner (Family)

55 PHYSICIANS LN
SOUTHAVEN, MS 38671

Desoto County (662) 655-2136

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 Roger Decker's NPI number?

The NPI number for Roger Decker is 1689154478. It was assigned to this individual provider in the NPPES registry on August 21, 2018.

Where is Roger Decker located?

Roger Decker practices at 55 Physicians Ln, Southaven, MS 38671. The listed phone number is (662) 655-2136.

What is Roger Decker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

When was this NPI record last updated?

The NPPES record for Roger Decker was last updated on September 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.