MS. MARIAH LEIGH RODRIGUEZ PA
NPI 1003367541
Physician Assistant in Charlotte, NC

Active since October 19, 2016PECOS EnrolledAccepts Medicare Assignment
11840 SOUTHMORE DR STE 100, CHARLOTTE, NC 28277(980) 308-0169(980) 308-0173 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 8, 2024, Apr 26, 2022, Dec 16, 2020 and 2 more (5 updates tracked since 2016).

About Ms. Mariah Leigh Rodriguez Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MARIAH LEIGH RODRIGUEZ PA (NPI 1003367541) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (0010-07406) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Charlotte, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1003367541
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. MARIAH LEIGH RODRIGUEZCredential: PA
Location Address11840 SOUTHMORE DR STE 100Charlotte, NC 28277-4821
Mailing AddressPo Box 601843Charlotte, NC 28260-1843
Fax(980) 308-0173
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 19, 2016
Last NPPES UpdateMay 8, 20245 updates tracked since enumeration
NPPES CertifiedMay 8, 2024
NPI 1003367541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 0010-07406
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
11840 SOUTHMORE DR STE 100, Charlotte, NC 28277

Secondary Practice Location 1

Location 17004 Smith Corners Blvd Ste ACharlotte, NC 28269-3827 · Phone (704) 688-9650 · Fax (704) 688-9651

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Mariah Leigh Rodriguez Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244510147
PECOS Enrollment IDI20171108003653
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28277 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
11840 SOUTHMORE DR STE 100
CHARLOTTE, NC 28277
Physical Therapist
11840 SOUTHMORE DR STE 100
CHARLOTTE, NC 28277
Physical Therapist
11840 SOUTHMORE DR STE 100
CHARLOTTE, NC 28277
Physician Assistant
11840 SOUTHMORE DR STE 100
CHARLOTTE, NC 28277
Physical Therapist
11840 SOUTHMORE DR STE 100
CHARLOTTE, NC 28277
Physical Therapist
11840 SOUTHMORE DR STE 100
CHARLOTTE, NC 28277
Obstetrics & Gynecology (Obstetrics)
11840 SOUTHMORE DR STE 100
CHARLOTTE, NC 28277
Physician Assistant
11840 SOUTHMORE DR STE 100
CHARLOTTE, NC 28277

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mariah Rodriguez's NPI number?

The NPI number for Mariah Rodriguez is 1003367541. It was assigned to this individual provider in the NPPES registry on October 19, 2016.

Where is Mariah Rodriguez located?

Mariah Rodriguez practices at 11840 Southmore Dr Ste 100, Charlotte, NC 28277. The listed phone number is (980) 308-0169.

What is Mariah Rodriguez's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mariah Rodriguez enrolled in Medicare?

Yes. Mariah Rodriguez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mariah Rodriguez accept?

Health plans from Blue Cross and Blue Shield of NC list Mariah Rodriguez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mariah Rodriguez was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.