IndividualActive
Aeryn Rogers, DO
NPI 1336636067 · Diagnostic Radiology Physician · Jackson, MS
Provider details
- NPI number
- 1336636067
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 31336 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2500 N State St
Jackson, MS 39216-4505
Phone: (601) 815-1779
Fax: (601) 815-0444
Approximate (ZIP-level) locationGet directions
Mailing address
504 Clinton Center Dr Ste 4300
Clinton, MS 39056-5610
Registry dates
- Enumerated
- 2018-04-18
- Last updated
- 2025-08-22
- Certified
- 2025-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.