OrganizationRoger D Owens Md PcInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address667 Lanier Park Dr, Gainesville, GA 30501-2059(770) 532-7501PECOS EnrollmentBased on the most recent information from CMS, provider Roger D Owens Md Pc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1194793539Provider TypeOrganizationFull NameRoger D Owens Md PcSubpartNoEnumeration Date3/10/2006Last Updated11/18/2009Contact InformationPractice LocationPractice Address667 Lanier Park Dr, Gainesville, GA 30501-2059Phone(770) 532-7501Fax(770) 532-8322Mailing LocationMailing Address667 Lanier Park Dr, Gainesville, GA 30501-2059Phone(770) 532-7501Fax(770) 532-8322Authorized OfficialNameOwens, Roger Douglas (Physician/Owner)Phone(770) 532-7501Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerIDD05542DescriptionOtherIssuerRAILROAD MEDICAREID00114298ADescriptionMedicaidIssuerUnlistedGeorgiaID07397DescriptionOtherIssuerBLUE CROSS BLUE SHIELDGeorgia