Active NPI
Misael Rodriguez, M.D.
- Neonatal-Perinatal Medicine Physician
- Macon, GA
National Provider Identifier
1285688069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 03036717
- Practice address
- 350 Hospital Dr
Nicu
Macon, GA 31217-3838 - Phone
- (478) 765-4132
- Fax
- (478) 765-4171
- NPI assigned
- May 19, 2006
- Last updated
- Feb 4, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 03036717 | GA | Primary |
Addresses
Primary practice location
350 Hospital Dr
Nicu
Macon, GA 31217-3838
Mailing address
350 Hospital Dr
Nicu
Macon, GA 31217-3838
Phone (478) 765-4132
Other names 1
- Misael Rodriguez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034756 | GA | MD | Pharmacist |
| 03036717 | GA | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Medical Center of Central Georgia Inc | 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.
-
dba Atrium Health Navicent The Medical Center
- General Acute Care Hospital
- Macon, GA
- NPI 1043270564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233705600000",
"number": "1285688069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 HOSPITAL DR",
"address_2": "NICU",
"city": "MACON",
"state": "GA",
"postal_code": "312173838",
"telephone_number": "478-765-4132",
"fax_number": "478-765-4171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 HOSPITAL DR",
"address_2": "NICU",
"city": "MACON",
"state": "GA",
"postal_code": "312173838",
"telephone_number": "478-765-4132",
"fax_number": "478-765-4171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "MISAEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2009-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "GA",
"license": "03036717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MISAEL",
"last_name": "RODRIGUEZ",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.