TYLER ROGERS – Certified Registered Nurse Anesthetist, NPI 1376357467

TYLER ROGERS is a healthcare provider. based in Brookhaven, Georgia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. RN307444 (GA). The NPI Number for TYLER ROGERS is 1376357467

Main info

Male
Sole Proprietor
1 Year Of Experience
Accepts Medicare Assignment
Name
TYLER ROGERS
NPI
1376357467
Phone
(217) 419-5846
Address
1182 BROOKHAVEN PARK PL NE
Enumeration Date
6 February 2025
Last Update Date
13 October 2025

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7707021806
Graduation Year
2025 (1 year ago)
PAC ID
0547760787
Group Practice PAC ID
8325446305
Professional Enrollment ID
I20250822001683
Address ID
GA301434872JA1266XSXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness85
Years active:1State licenses:2Digital endpointsOther names

1,710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in GA

Provider Addresses for TYLER ROGERS

  • 1182 BROOKHAVEN PARK PL NE

    BROOKHAVEN, GA 303194560

    Phone: (217) 419-5846

    Type: Mailing

  • 1520 CLIFTON RD NE

    ATLANTA, GA 303224201

    Phone: (404) 727-7980

    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: 2025-08-22

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
I20250822001683ICertified Registered Nurse Anesthetist (Crna)GATBD

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 30319)

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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: 8325446305View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YGA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)NC
Certified Registered Nurse Anesthetist (Crna)GA
Anesthesiology, Addiction Medicine, Interventional Pain Management, Pain ManagementGA

Reviews

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Frequently asked questions

What NPI should I save for TYLER ROGERS?
Save NPI 1376357467 if you need a stable reference for TYLER ROGERS.
Does this profile mean TYLER ROGERS is currently active?
Yes — TYLER ROGERS appears active in the national provider directory.
What kind of provider is TYLER ROGERS?
The page reflects Certified Registered Nurse Anesthetist for TYLER ROGERS. Clinical services aligned with this taxonomy classification.
Where is TYLER ROGERS's primary listing?
We display Brookhaven, Georgia because that is what the record indicates for TYLER ROGERS.
What if Brookhaven, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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