Individual provider Active NPI

Natalia T Rodriguez, FNP

  • Family Nurse Practitioner
  • Hinesville, GA
National Provider Identifier
1497563670
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN315474 Issued in GA
Practice address
303 Fraser Dr
Hinesville, GA 31313-3712
Phone
(912) 877-2227
Fax
(912) 877-2332
NPI assigned
Dec 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN315474 GA Primary

Addresses

Primary practice location

303 Fraser Dr
Hinesville, GA 31313-3712

Mailing address

303 Fraser Dr
Hinesville, GA 31313-3712
Phone (912) 877-2227

Other names 1

  • Miss Natalia T Norman Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250306001246 GA Practitioner - Nurse Practitioner 4284155268 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN315474GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Diversity Health Center Inc. Current Accepting new patients
Diversity Health Center Inc CurrentSince Mar 4, 2025 Accepting new patients
Diversity Health Center Inc. CurrentSince Mar 4, 2025 Accepting new patients
Procare Wellness Network Inc CurrentSince Dec 6, 2025 Accepting new patients

Locations

502 E General Stewart Way
Ste A
Hinesville, GA 31313
Phone (912) 368-1959

303 Fraser Dr
Hinesville, GA 31313
Phone (912) 255-5523

Organizations & group practices 9

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Procare Wellness Network Inc 13 clinicians
Diversity Health Center Inc 12 clinicians

Practice addresses (Care Compare)

340 Eisenhower Dr
BLDG 500
Savannah, GA 31406-1600
Phone (912) 348-3818

502 E General Stewart Way
Suite a
Hinesville, GA 31313-2643
Phone (912) 369-1959

NPI Registry JSON

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

{
    "created_epoch": "1734652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1497563670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 FRASER DR",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313133712",
            "telephone_number": "912-877-2227",
            "fax_number": "912-877-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 FRASER DR",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313133712",
            "telephone_number": "912-877-2227",
            "fax_number": "912-877-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "NATALIA",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-20",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN315474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIA",
            "last_name": "NORMAN",
            "middle_name": "T",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hinesville, GA

Sources for this page

Verify at the official NPI Registry.