Amy Rodriguez, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-06578 Issued in NC

Practice address

55 Vilcom Center Dr
Suite 110
Chapel Hill, NC 27514-1689

Phone

(919) 929-7990

NPI assigned

Oct 10, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Dermatology & Laser Center of Chapel Hill, PLLC

  • Dermatology Physician
  • Chapel Hill, NC
  • NPI 1114470523
  Medicare reassignment

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1518417898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 COPPERLINE DR",
            "address_2": "UNIT 207",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275164484",
            "telephone_number": "910-988-0535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 VILCOM CENTER DR",
            "address_2": "SUITE 110",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141689",
            "telephone_number": "919-929-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "AMY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-06578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Walker Robinson, M.D., M.P.H.
• Mitchell Brandon Rock, MD
• Katherine Rodby, MD
• Niulma Carola Rodriguez Santiago, AGPCNP-BC
• Alexa Renee Rodriguez, MD
• Mary Rodriguez, RN
• Mary Williams Roederer, PHARM.D.
• Breanne Roess, PHARMD
• Jennifer Lee Rogers, M.D.
• Kelly Ann Rogers, LCAS

• Physician Assistant in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.