Active NPI
Nathaniel Rodriguez, MD
- Neurocritical Care Physician
- Athens, GA
National Provider Identifier
1407315278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurocritical Care Physician
- License
- U3991
- Practice address
- 1500 Oglethorpe Ave Ste 200D
Athens, GA 30606-2165 - Phone
- (706) 389-3875
- NPI assigned
- Mar 19, 2019
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 10895 | GA | |
| Internal Medicine Physician | 207R00000X | MD.44658 | AL | |
| Neurocritical Care Physician | 2084A2900X | U3991 | TX | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1500 Oglethorpe Ave Ste 200D
Athens, GA 30606-2165
Mailing address
1230 Baxter St
Athens, GA 30606-3712
Phone (706) 389-3860
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | communityinternalmedicine@605.direct.myezyaccess.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4458 Medical Dr
Suite 505
San Antonio, TX 78229-3748
Phone (210) 690-7400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.44658 | AL | MD | Internal Medicine Physician |
| 10895 | GA | MD | Orthopaedic Surgery Physician |
| U3991 | TX | MD | Neurocritical Care Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Ips LLC | Current | Accepting new patients |
Locations
34910 Interstate 10 W
Ste 601
Boerne, TX 78006
Phone (830) 248-1207
4458 Medical Dr
Ste 505
San Antonio, TX 78229
Interoperability endpoints
- nrodriguez327416@direct.phhs.org
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 and National Provider Directory roles.
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- San Antonio, TX
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772064000000",
"number": "1407315278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1230 BAXTER ST",
"city": "ATHENS",
"state": "GA",
"postal_code": "306063712",
"telephone_number": "706-389-3860",
"fax_number": "706-389-3861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 OGLETHORPE AVE STE 200D",
"city": "ATHENS",
"state": "GA",
"postal_code": "306062165",
"telephone_number": "706-389-3875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "NATHANIEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-19",
"last_updated": "2026-02-26",
"certification_date": "2026-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "10895",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "MD.44658",
"primary": false
},
{
"code": "2084A2900X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurocritical Care",
"state": "TX",
"license": "U3991",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "communityinternalmedicine@605.direct.myezyaccess.com",
"affiliation": "N",
"endpointDescription": "CIMA Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Email Address",
"address_1": "1500 Oglethorpe Ave Ste 200C",
"city": "Athens",
"state": "GA",
"country_code": "US",
"postal_code": "306062165",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; 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.