MELANIE ANN RODRIGUEZ PA NPI 1154709780

NPI Information

  • NPI: 1154709780
  • Provider Name: MELANIE ANN RODRIGUEZ, PA
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1300 PEACHTREE INDUSTRIAL BLVD STE 4101
    SUWANEE, GA
    ZIP 30024
  • Phone: (770) 831-5525

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NPI Details

Melanie Ann Rodriguez, PA is a physician assistant in Suwanee, GA with 12 years of experience. The provider is 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 trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Melanie Ann Rodriguez, PA NPI is 1154709780. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Graduation Year:2014

The provider's business location address is:

1300 PEACHTREE INDUSTRIAL BLVD STE 4101
SUWANEE, GA
ZIP 30024-542
Phone: (770) 831-5525

The NPI 1154709780 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 5/14/2015 and was last updated on 2/21/2025.

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
1363A00000XPhysician AssistantPA9112074FLORIDANo
2363AM0700XPhysician AssistantMedicalPA6038MASSACHUSETTSNo
3363A00000XPhysician Assistant12678GEORGIAYes

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
1110124700AMEDICAIDMASSACHUSETTS

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: 11/21/2025

NPI Synchronization or Removal

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