1. Home
  2. Directory
  3. Georgia
  4. Atlanta
  5. Physician Assistant
  6. NPI Profile

MR. TYLER JOHNSON RODRIGUEZ
NPI 1063248201
Physician Assistant in Atlanta, GA

Active since September 13, 2024
4480 N SHALLOWFORD RD STE 200, ATLANTA, GA 30338(336) 653-9493 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 6, 2026, Sep 13, 2024 (2 updates tracked since 2024).

About Mr. Tyler Johnson Rodriguez NPPES

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

MR. TYLER JOHNSON RODRIGUEZ (NPI 1063248201) is an individual physician assistant in Atlanta, Georgia, licensed in Georgia (12613) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1063248201
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. TYLER JOHNSON RODRIGUEZ
Location Address4480 N SHALLOWFORD RD STE 200Atlanta, GA 30338-6410
Mailing Address982 Memorial Dr Se Apt 516Atlanta, GA 30316-4474 · (336) 653-9493
Phone(336) 653-9493
Sole ProprietorNo
Enumeration DateSeptember 13, 2024
Last NPPES UpdateJanuary 6, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2026
✔ NPI 1063248201 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 GA · 12613
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.
4480 N SHALLOWFORD RD STE 200, Atlanta, GA 30338
Open in Google Maps ↗

Other Providers at the Same Location NPPES 3

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

LINDSEY ZWECKER CNM
Advanced Practice Midwife
4480 N SHALLOWFORD RD STE 200
DUNWOODY, GA 30338
Dekalb County (470) 226-1601
DR. SHIRLEY RIGAUD-ECHOLS M.D.
Obstetrics & Gynecology
4480 N SHALLOWFORD RD STE 200
DUNWOODY, GA 30338
Dekalb County (470) 226-1601
DEKALB OBGYN AFFILIATES LLC
Obstetrics & Gynecology
4480 N SHALLOWFORD RD STE 200
DUNWOODY, GA 30338
Dekalb County (470) 226-1601

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 Tyler Rodriguez's NPI number?

The NPI number for Tyler Rodriguez is 1063248201. It was assigned to this individual provider in the NPPES registry on September 13, 2024.

Where is Tyler Rodriguez located?

Tyler Rodriguez practices at 4480 N Shallowford Rd Ste 200, Atlanta, GA 30338. The listed phone number is (336) 653-9493.

What is Tyler Rodriguez's specialty?

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

When was this NPI record last updated?

The NPPES record for Tyler Rodriguez was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.