DIANA RODGERS (MD) – Family Medicine Physician, NPI 1104404888

DIANA RODGERS (MD) is a healthcare provider. based in Atlanta, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 95599 (GA). The NPI Number for DIANA RODGERS (MD) is 1104404888

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
DIANA RODGERS (MD)
NPI
1104404888
Phone
(404) 686-8181
Address
550 Peachtree St NE Fl 7
Enumeration Date
1 April 2021
Last Update Date
2 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2406933281
Graduation Year
2020 (6 years ago)
PAC ID
1658772363
Group Practice PAC ID
9830540624
Professional Enrollment ID
I20230731000595
Address ID
GA303183669AT1500XNWXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

3,102 FAMILY PRACTICE in GA

Provider Addresses for DIANA RODGERS (MD)

  • 550 Peachtree St NE Fl 7

    Atlanta, GA 303082212

    Phone: (404) 686-8181

    Type: Location

  • 4500 N SHALLOWFORD RD STE B

    DUNWOODY, GA 303386476

    Phone: (404) 778-6920

    Fax: (404) 778-6901

    Type: Mailing

  • 152 CENTENNIAL WAY NW

    ATLANTA, GA 303132406

    Phone: (813) 728-1480

    Type: Mailing

  • 1525 CLIFTON RD NE

    ATLANTA, GA 303226476

    Phone: (404) 778-2050

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-07-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230731000595IFamily PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30308)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830540624View full group profile
NameSpecialtyState
Internal MedicineMO
Family PracticeFL
Family PracticeCA
Family PracticePA
Family PracticeAZ
Family PracticeMN
Emergency MedicineGA
Family PracticeCA
Family PracticeMO
Geriatric Medicine, Family PracticeTX

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do payers reference DIANA RODGERS (MD)?
For DIANA RODGERS (MD), use NPI 1104404888 as the unique 10-digit identifier.
Is DIANA RODGERS (MD) shown as active in public data?
Registry records indicate DIANA RODGERS (MD) maintains an active NPI.
What expertise is attributed to DIANA RODGERS (MD)?
DIANA RODGERS (MD)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Georgia is DIANA RODGERS (MD) registered?
Use Atlanta, Georgia as the headline location for DIANA RODGERS (MD) here.
When was this NPI issued?
Enumeration for DIANA RODGERS (MD) is noted as April 1, 2021 where the registry provides it.

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