P Praxis·MD
● Active Type 1 · Individual

Jaclyn Jean Rogers, PA

Physician Assistant·Austell, GA· NPI 1972868651 · Enumerated 2012 · 13 years on NPI
Rogers is 1 of 88 physician assistant providers in Austell and 1 of 4616 in Georgia.
NPI age
13 years
Enumerated 2012-07-09
Primary specialty
Physician Assistant
Plus 2 subspecialties
Licensed in
GA, KY
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-04-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 4616 active physician assistant providers in Georgia.

NPI age
13 years
↑ 5 yr above median (8 yr)
State licenses
2 states
Top 90% — 9% of peers are multi-state
Subspecialties
1
In the 24% of peers with subspecialties

NPI lifetime · 2012 → 2026

2012-07Enumerated in NPPES
2012 2026

Where they practice

Practice location
2041 Mesa Valley Way Ste 100
Austell, GA 301066856
📞 7709441100fax 7709446469
Mailing address
2041 Mesa Valley Way Ste 100
Austell, GA 301066856
📞 7709441100fax 7709446469

Specialties

  • Physician Assistant Primary
    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
    GA license #10202KY license #TC837 taxonomy 363A00000X
  • Chiropractor
    A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal...
    KY license #5361 taxonomy 111N00000X

Practice context

Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.

Recently enumerated nearby: 2 new physician assistant providers have been added in Austell in the last 180 days. See all →
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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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