Healthcare Provider Details

I. General information

NPI: 1891487906
Provider Name (Legal Business Name): RACHEL ALLYN ROGERS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2023
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 SAINT VINCENTS DR STE 100
BIRMINGHAM AL
35205-1638
US

IV. Provider business mailing address

805 SAINT VINCENTS DR STE 100
BIRMINGHAM AL
35205-1638
US

V. Phone/Fax

Practice location:
  • Phone: 205-939-3699
  • Fax: 205-484-2585
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number2808
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: