Individual provider Active NPI

David F Rodriguez, M.D.

  • Internal Medicine Physician
  • Atlanta, GA
National Provider Identifier
1376656447
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
31109 Issued in GA
Practice address
775 Johnson Fy Rd NE
Atlanta, GA 30342-1408
Phone
(678) 961-4100
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 31109 GA Primary

Addresses

Primary practice location

775 Johnson Fy Rd NE
Atlanta, GA 30342-1408

Mailing address

775 Johnson Fy Rd NE
Atlanta, GA 30342-1408
Phone (678) 961-4100

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040123000471 GA Practitioner - Internal Medicine 3971405721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Emory University School of Medicine, 1987
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5667 Peachtree Dunwoody Rd
Suite 200
Atlanta, GA 30342-1725
Phone (678) 961-4100

Hospital & facility affiliations

  • Accentcare Home Health of Georgia Home health agency, Roswell, GA, CCN 117131
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161
  • Piedmont Hospital, Inc Hospital, Atlanta, GA, CCN 110083
  • Saint Joseph'S Hospital of Atlanta, Inc Hospital, Atlanta, GA, CCN 110082
  • Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005
  • Northside Hospital Cherokee Hospital, Canton, GA, CCN 110008
  • Wellstar Windy Hill Hospital Long-term care hospital, Marietta, GA, CCN 112007

Merit-based Incentive Payment System (MIPS)

Final score
85.8 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
52.66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31109GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Personalized Medicine LLC Internal Medicine CurrentSince Nov 12, 2021 Accepting new patients
Atlanta Skin and Aesthetics PastSince Feb 1, 2022 Accepting new patients

Locations

775 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 531-0350

5667 Ptree Dunwoody Rd NE
Ste 200
Sandy Springs, GA 30342
Phone (404) 252-4110

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EFEGCD/Endpoint/EFEGCD

Organizations & group practices 2

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

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1376656447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 JOHNSON FY RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421408",
            "telephone_number": "678-961-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 JOHNSON FY RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421408",
            "telephone_number": "678-961-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "DAVID",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "31109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.