Kevin J Rodbell, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

057998 Issued in GA

Practice address

1799 Briarcliff Road NE
Suite X
Atlanta, GA 30306

Phone

(404) 745-4578

Fax

(404) 745-4579

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: krodbell11082@choa.gadirect.net

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.

• Kevin J. Rodbell, MD

  • Pediatrics Physician
  • Atlanta, GA
  • NPI 1659672608
  NPD (past) Authorized official
• Sage Hill Pediatrics

  • Primary Care Clinic/Center
  • Atlanta, GA
  • NPI 1851708820
  NPD (past) Authorized official

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259712000000",
    "number": "1487740171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1799 BRIARCLIFF ROAD NE",
            "address_2": "SUITE X",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30306",
            "telephone_number": "404-745-4578",
            "fax_number": "404-745-4579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1799 BRIARCLIFF ROAD NE",
            "address_2": "SUITE X",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30306",
            "telephone_number": "404-745-4578",
            "fax_number": "404-745-4579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODBELL",
        "first_name": "KEVIN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2009-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "057998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "566873882H",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Joy Rock, PT
• Maxine Rockhead, FNP
• Rockwell Oral and Facial Surgery LLC
• Rocky Mountain Holdings, LLC
• Mayra Alejandra Rodas Calderon, MD
• Taylor Roddie, M.ED, ED.S, NBCC
• Anthony Roddy
• Elizabeth Anne Roddy, PA-AA
• Katie Jeana Roddy, MD
• Travis Roddy

• Pediatrics Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.

Verify at the official NPI Registry.