Individual provider Active NPI

Jose Abraham Rodriguez, MD

  • Pediatrics Physician
  • Columbus, MS
National Provider Identifier
1780779579
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
19905 Issued in MS
Practice address
114 N Lehmberg Rd
Columbus, MS 39702-5554
Phone
(662) 329-2955
Fax
(662) 370-1236
NPI assigned
Oct 4, 2006
Last updated
Sep 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 19905 MS Primary

Addresses

Primary practice location

114 N Lehmberg Rd
Columbus, MS 39702-5554

Mailing address

114 N Lehmberg Rd
Columbus, MS 39702-5554
Phone (662) 329-2955

Other identifiers 1

IdentifierTypeStateIssuer
09151072MedicaidMS

Other names 1

  • Abraham Rodriguez Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20230403000121 MS Practitioner - Pediatric Medicine 6709251986

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19905MSMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Health Center, Inc. CurrentSince Oct 19, 2022 Accepting new patients
Delta Health Center, Inc CurrentSince Oct 19, 2022 Accepting new patients
Delta Health Center Inc Current Accepting new patients
Children's Health Center of Columbus, Inc. Pediatrics CurrentSince Sep 28, 2025 Accepting new patients
Children's Health Center of Columbus, Inc. PastSince Sep 28, 2025 Accepting new patients
Delta Health Center, Inc. Past Accepting new patients

Locations

548 Rosemary Rd
Cleveland, MS 38732
Phone (662) 741-8880

114 N Lehmberg Rd
Columbus, MS 39702
Phone (662) 329-2955

400 South Blvd
Drew, MS 38737
Phone (662) 745-8892

1414 Hospital St
Greenville, MS 38703
Phone (662) 335-3991

2363 Highway 1 S
Greenville, MS 38701
Phone (662) 334-1253

118 Front Ave
Indianola, MS 38751
Phone (662) 741-8810

302 College Ave
Indianola, MS 38751
Phone (662) 331-8894

404 Jefferson St
Indianola, MS 38751
Phone (662) 884-1250

14000 Highway 82 W
Itta Bena, MS 38941
Phone (334) 357-1543

801 N Broad St
Leland, MS 38756
Phone (662) 686-0295

506 W Washington St
Moorhead, MS 38761
Phone (662) 246-5680

598 Ingram St
Moorhead, MS 38761
Phone (662) 246-8028

702 Mlk St
Mound Bayou, MS 38762
Phone (662) 741-2151

20400 Highway 61
Rolling Fork, MS 39159
Phone (662) 741-2151

250 Oscar St
Ruleville, MS 38771
Phone (662) 756-2622

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18494/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jose.rodriguez.p1@direct.deltahc.nextgenshare.com

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1780779579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 N LEHMBERG RD",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397025554",
            "telephone_number": "662-329-2955",
            "fax_number": "662-370-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N LEHMBERG RD",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397025554",
            "telephone_number": "662-329-2955",
            "fax_number": "662-370-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JOSE",
        "middle_name": "ABRAHAM",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "19905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09151072",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABRAHAM",
            "last_name": "RODRIGUEZ",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbus, MS

Sources for this page

Verify at the official NPI Registry.