JOHN ROCCO MACMILLAN RODNEY M.D. NPI 1891944708

NPI Information

NPI: 1891944708
Provider Name: JOHN ROCCO MACMILLAN RODNEY, M.D.
Classification: Family Medicine - 207QA0401X
Entity Type: Individual

Specialization: Addiction Medicine

PECOS Registration: Yes

Address:
3030 COVINGTON PIKE
MEMPHIS, TN
ZIP 38128
Phone: (901) 383-8889
Get Directions

John Rocco Macmillan Rodney, M.D. is an addiction medicine family medicine in Memphis, TN with 16 years of experience. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. John Rocco Macmillan Rodney, M.D. NPI is 1891944708. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3030 COVINGTON PIKE
MEMPHIS, TN
ZIP 38128-048
Phone: (901) 383-8889
Fax: (901) 384-6309

The NPI 1891944708 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/16/2008 and was last updated on 11/3/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207P00000X	Emergency Medicine		45956	TENNESSEE	No
2	207P00000X	Emergency Medicine		N4707	TEXAS	No
3	207Q00000X	Family Medicine		N4707	TEXAS	No
4	207Q00000X	Family Medicine		45956	TENNESSEE	No
5	207Q00000X	Family Medicine		56738	KENTUCKY	No
6	208D00000X	General Practice		45956	TENNESSEE	No
7	207QA0401X	Family Medicine	Addiction Medicine	45956	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8DE870	OTHER	TEXAS	BCBS
2	N4707	OTHER	TEXAS	LICENSE
3	210899503	MEDICAID	TEXAS
4	1521174	MEDICAID	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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