Individual provider Active NPI

Raul Rodriguez, MD

  • Psychiatry Physician
  • Asheville, NC
National Provider Identifier
1841554912
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
027646 Issued in GA
Practice address
428 Biltmore Ave
Asheville, NC 28801-4502
Phone
(828) 213-9906
NPI assigned
Jul 3, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2010-00858 NC
Psychiatry Physician 2084P0800X MD15849 SC
Psychiatry Physician 2084P0800X 027646 GA Primary

Addresses

Primary practice location

428 Biltmore Ave
Asheville, NC 28801-4502

Mailing address

1297 Carters Ferry Rd
Hartwell, GA 30643-3035

Other practice location 1

1297 Carters Ferry Rd
Hartwell, GA 30643-3035
Phone (706) 376-1880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA, SC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20181029002725 NC Practitioner - Psychiatry 2567715162 Reassigns benefits to 1 organization
I20190920001926 VA Practitioner - Psychiatry 2567715162 Reassigns benefits to 1 organization
I20230303000162 SC Practitioner - Psychiatry 2567715162 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
027646GAMDPsychiatry Physician
2010-00858NCMDPsychiatry Physician
MD15849SCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifesource of North Carolina Psychiatry CurrentSince Dec 6, 2025 Accepting new patients
Georgia Mountains Community Services Past Accepting new patients
Alpha Healthcare Services and Solutions, LLC Psychiatry Past Accepting new patients

Locations

3205 Randall Pkwy
Ste 105
Wilmington, NC 28403
Phone (910) 338-2880

1901 Libbie Ave
Richmond, VA 23226
Phone (804) 281-3500

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534464000000",
    "number": "1841554912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1297 CARTERS FERRY RD",
            "city": "HARTWELL",
            "state": "GA",
            "postal_code": "306433035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 BILTMORE AVE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014502",
            "telephone_number": "828-213-9906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1297 Carters Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Hartwell",
            "state": "GA",
            "postal_code": "306433035",
            "country_code": "US",
            "telephone_number": "706-376-1880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "RAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-03",
        "last_updated": "2018-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2010-00858",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "MD15849",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "027646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.