Individual provider Active NPI

Rodeline Joseph, PA-C

  • Physician Assistant
  • Parkland, FL
National Provider Identifier
1265983548
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 9109849 Issued in FL
Practice address
12681 NW 75TH St
Parkland, FL 33076-4205
Phone
(954) 865-8929
NPI assigned
Oct 20, 2016
Last updated
Sep 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, PA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20180523000580 GA Practitioner - Physician Assistant 5799040739 Reassigns benefits to 8 organizations
I20190128003226 FL Practitioner - Physician Assistant 5799040739 Reassigns benefits to 2 organizations
I20241015001012 NY Practitioner - Physician Assistant 5799040739 Reassigns benefits to 1 organization
I20260323002319 IL Practitioner - Physician Assistant 5799040739 Reassigns benefits to 1 organization
I20260324001297 PA Practitioner - Physician Assistant 5799040739 Reassigns benefits to 1 organization

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
TMC Immediate Care, IncGroup PAC ID 9133105976, 22 clinicians

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

LicenseStateTypeSpecialty
PA 9109849FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Status Health CurrentSince Jun 30, 2025 Accepting new patients
Virtuhealth Current Accepting new patients
Houston County Emergency Group, LLC CurrentSince Oct 10, 2017 Accepting new patients
United Medical Associates, P.C. CurrentSince Oct 9, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Feb 3, 2026 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.

View all 13

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

Sources for this page

Verify at the official NPI Registry.