P Praxis·MD
● Active Type 1 · Individual

Ethan Rogers, MD

Emergency Medicine·Gainesville, GA· NPI 1639220239 · Enumerated 2007 · 19 years on NPI
Rogers is 1 of 42 emergency medicine providers in Gainesville and 1 of 1991 in Georgia.
NPI age
19 years
Enumerated 2007-01-12
Primary specialty
Emergency Medicine
Plus 1 subspecialty
Licensed in
GA, FL
2 states
Status
Active
No deactivations on record
Last NPPES update
2008-10-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1991 active emergency medicine providers in Georgia.

NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
2 states
Top 79% — 20% of peers are multi-state
Subspecialties
0
41% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-01Enumerated in NPPES
2007 2026

Where they practice

Practice location
743 Spring St
Gainesville, GA 30501
📞 6788621796fax 7705338949
Mailing address
743 Spring St
Gainesville, GA 30501
📞 6788621796fax 7705338949

Specialties

  • Emergency Medicine Primary
    An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department....
    GA license #059926FL license #ME99797 taxonomy 207P00000X

Identifiers

TypeValueNotes
05 (GA) 429866120C
01 (GA) GRP4155 MEDICARE GROUP NUMBER
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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