Active NPI
Rodeline Joseph, PA-C
- Physician Assistant
- Parkland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA 9109849
- Practice address
- 12681 NW 75TH St
Parkland, FL 33076-4205 - Phone
- (954) 865-8929
- NPI assigned
- Oct 20, 2016
- Last updated
- Sep 13, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA 9109849 | FL | Primary |
| Physician Assistant | 363A00000X | 023059 | NY |
Addresses
Primary practice location
12681 NW 75TH St
Parkland, FL 33076-4205
Mailing address
12681 NW 75TH St
Parkland, FL 33076-4205
Phone (954) 865-8929
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, FL, NY, IL, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Tanner Dr
Bremen, GA 30110-2537
Phone (770) 836-9445
101 Quartz Dr
Suite 101
Villa Rica, GA 30180-3252
Phone (770) 949-7500
1480 S Hwy 27
Carrollton, GA 30117-8901
1480S Hwy 27
Carrollton, GA 30117-8901
Phone (770) 836-9445
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 9109849 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Status Health | Current | Accepting new patients | |
| Virtuhealth | Current | Accepting new patients | |
| Houston County Emergency Group, LLC | Current | Accepting new patients | |
| United Medical Associates, P.C. | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients |
Locations
50 N Laura St
Ste 2500
Jacksonville, FL 32202
Phone (219) 516-3784
1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706
1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155
33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412
Organizations & group practices 13
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.
-
dba Tanner Urgent Care
- Urgent Care Clinic/Center
- Villa Rica, GA
- NPI 1386708097
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
FL, GA, IL, PA
-
- Clinic/Center
- Powder Springs, GA
- NPI 1255154266
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
-
- Emergency Medicine Physician
- Milledgeville, GA
- NPI 1306206826
-
- Emergency Medicine Physician
- Warner Robins, GA
- NPI 1013338193
-
- Emergency Medicine Physician
- Columbus, GA
- NPI 1770521460
-
- Family Medicine Physician
- Hiram, GA
- NPI 1437194156
-
- Cardiovascular Disease Physician
- Carrollton, GA
- NPI 1396979787
-
- Clinic/Center
- Binghamton, NY
- NPI 1013972801
-
- Emergency Medicine Physician
- Perry, GA
- NPI 1467873547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726185600000",
"number": "1265983548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12681 NW 75TH ST",
"city": "PARKLAND",
"state": "FL",
"postal_code": "330764205",
"telephone_number": "954-865-8929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12681 NW 75TH ST",
"city": "PARKLAND",
"state": "FL",
"postal_code": "330764205",
"telephone_number": "954-865-8929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "RODELINE",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-20",
"last_updated": "2024-09-13",
"certification_date": "2024-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA 9109849",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "023059",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parkland, FL
- Joel Salamon MD LLC (Pain Care Specialists of South Florida)
- Vanessa Althea Johnson, PH.D. PMHNP-BC APRN
- Zachary Scott Johnson, MS, RD, CPT
- Toni-Anne Elizabeth Jones
- Joseph Bogart DC PA (Parkside Health & Wellness Center)
- Jr Levy, Inc.
- Edwin L Kamstock, M.D.
- Kan Therapy LLC
- Kayla Ann Katz, LCSW
- Deborah Gene Kauffman, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.