Rogena D Cordle, MD
Pediatrics in Rome, GA. Individual provider (NPI-1).
NPI number1679513360
StatusActive
Last updated in NPPESNov 17, 2022
Details
- NPI
- 1679513360
- Entity type
- Individual (NPI-1)
- Name
- Rogena D Cordle
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 8, 2006
- Certification date
- Nov 17, 2022
- Last updated
- Nov 17, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PEDIATRIC MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 043585 | GA | Yes |
Other names
- Rogena Ann Davis (Former Name)
Practice location
304 Shorter Ave Nw Ste 105Rome, GA 30165-4256
Phone 706-291-4880
Mailing address
420 E 2nd Ave Ste 103Rome, GA 30161-3210
Phone 706-509-3000
Other practice locations
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