Individual provider Active NPI

Melanie Ann Rodriguez, PA

  • Physician Assistant
  • Suwanee, GA
National Provider Identifier
1154709780
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
12678 Issued in GA
Practice address
1300 Peachtree Industrial Blvd Ste 4101
Suwanee, GA 30024-4542
Phone
(770) 831-5525
NPI assigned
May 14, 2015
Last updated
Feb 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9112074 FL
Physician Assistant 363A00000X 12678 GA Primary
Medical Physician Assistant 363AM0700X PA6038 MA

Addresses

Primary practice location

1300 Peachtree Industrial Blvd Ste 4101
Suwanee, GA 30024-4542

Mailing address

1300 Peachtree Industrial Blvd Ste 4101
Suwanee, GA 30024-4542
Phone (770) 831-5525

Other practice location 1

9130 S Dadeland Blvd Ste 1202
Miami, FL 33156
Phone (330) 317-1594

Other practice location 2

13500 SW 152nd St
Miami, FL 33177
Phone (786) 596-4333

Other practice location 3

13500 SW 152nd St
Miami, FL 33177
Phone (786) 596-4333

Other practice location 4

13500 SW 152nd St
Miami, FL 33177
Phone (786) 596-4333

Other practice location 5

1019 Trapelo Rd
Waltham, MA 02452
Phone (781) 736-1800

Other practice location 6

1019 Trapelo Rd
Waltham, MA 02452
Phone (781) 736-1800

Other identifiers 1

IdentifierTypeStateIssuer
110124700AMedicaidMA

Other names 1

  • Melanie Ann Hahn Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250305001246 GA Practitioner - Physician Assistant 6709198385

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Pittsburgh School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1825 Hwy 34 E
Suite 1200
Newnan, GA 30265-6416

PO Box
Suite 1060
Oakwood, GA 30566

PO Box
Suite 1060
Oakwood, GA 30566-0018

Merit-based Incentive Payment System (MIPS)

Final score
74.32 of 100Reported as group
Quality
41.6
Promoting interoperability
95
Improvement activities
40
Cost
76.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9112074FLMDPhysician Assistant
12678GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Urgent Care LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1154709780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 PEACHTREE INDUSTRIAL BLVD STE 4101",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244542",
            "telephone_number": "770-831-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 PEACHTREE INDUSTRIAL BLVD STE 4101",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244542",
            "telephone_number": "770-831-5525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9130 S Dadeland Blvd Ste 1202",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "33156",
            "country_code": "US",
            "telephone_number": "330-317-1594",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13500 SW 152nd St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "33177",
            "country_code": "US",
            "telephone_number": "786-596-4333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13500 SW 152nd St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "33177",
            "country_code": "US",
            "telephone_number": "786-596-4333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13500 SW 152nd St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "33177",
            "country_code": "US",
            "telephone_number": "786-596-4333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1019 Trapelo Rd",
            "address_purpose": "LOCATION",
            "city": "Waltham",
            "state": "MA",
            "postal_code": "02452",
            "country_code": "US",
            "telephone_number": "781-736-1800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1019 Trapelo Rd",
            "address_purpose": "LOCATION",
            "city": "Waltham",
            "state": "MA",
            "postal_code": "02452",
            "country_code": "US",
            "telephone_number": "781-736-1800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MELANIE",
        "middle_name": "ANN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-14",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9112074",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "12678",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "PA6038",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110124700A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "HAHN",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Suwanee, GA

Sources for this page

Verify at the official NPI Registry.