Tyler Johnson Rodriguez

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

12613 Issued in GA

Practice address

4480 N Shallowford Rd Ste 200
Atlanta, GA 30338-6410

Phone

(336) 653-9493

NPI assigned

Sep 13, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: tyler.rodriguez.1@11755.direct.athenahealth.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1063248201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "982 MEMORIAL DR SE APT 516",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303164474",
            "telephone_number": "336-653-9493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4480 N SHALLOWFORD RD STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386410",
            "telephone_number": "336-653-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "TYLER",
        "middle_name": "JOHNSON",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-13",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "12613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nailea Rodriguez
• Naima Taliah Rodriguez, MS
• Naylin Rodriguez
• Ryan Alexander Rodriguez, DNP, ARNP, AGACNP-BC
• Sharon Maria Rodriguez, FNP
• Vanessa Isabel Rodriguez, MD
• Zahidee Rodriguez, M.D.
• Julie Lynn Rodriquez, PT
• Gerald E Rodts Jr., MD
• Derrick Rodvill

• Physician Assistant in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.