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PAHOLA NICOLLE RODRIGUEZ MD
NPI 1104404193
Pediatrics in Athens, GA

Active since March 31, 2021PECOS Enrolled
1500 OGLETHORPE AVE STE 600CD, ATHENS, GA 30606(706) 559-4188(706) 559-4177 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 12, 2024, Jun 23, 2024, Mar 31, 2021 (3 updates tracked since 2021).

About Pahola Nicolle Rodriguez Md NPPES

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

PAHOLA NICOLLE RODRIGUEZ MD (NPI 1104404193) is an individual pediatrics provider in Athens, Georgia, licensed in Georgia (100167) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104404193
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NamePAHOLA NICOLLE RODRIGUEZCredential: MD
Location Address1500 OGLETHORPE AVE STE 600CDAthens, GA 30606-2179
Mailing Address1500 Oglethorpe Ave Ste 600Athens, GA 30606-2179 · (706) 559-4188 · Fax (706) 559-4177
Phone(706) 559-4188
Fax(706) 559-4177
Sole ProprietorNo
Enumeration DateMarch 31, 2021
Last NPPES UpdateSeptember 12, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2024
✔ NPI 1104404193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 100167
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1500 OGLETHORPE AVE STE 600CD, Athens, GA 30606
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pahola Nicolle Rodriguez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Pahola Rodriguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Piedmont Athens Primary Care LLC
1.6 mi
Family Medicine
1199 PRINCE AVE
Athens, GA 30606
  • Reassigned Medicare billing, Georgia enrollment
  • 118 clinicians in this Medicare group
NPI 1245746783 (706) 369-5440

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30606 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
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

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

DR. MARGARET SHERMAN M.D.
Pediatrics
1500 OGLETHORPE AVE STE 600CD
ATHENS, GA 30606
Clarke County (706) 559-4188

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 Pahola Rodriguez's NPI number?

The NPI number for Pahola Rodriguez is 1104404193. It was assigned to this individual provider in the NPPES registry on March 31, 2021.

Where is Pahola Rodriguez located?

Pahola Rodriguez practices at 1500 Oglethorpe Ave Ste 600cd, Athens, GA 30606. The listed phone number is (706) 559-4188.

What is Pahola Rodriguez's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Pahola Rodriguez enrolled in Medicare?

Yes. Pahola Rodriguez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Pahola Rodriguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pahola Rodriguez reassigns Medicare benefits to Piedmont Athens Primary Care LLC (Athens, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pahola Rodriguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pahola Rodriguez accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Pahola 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 Pahola Rodriguez was last updated on September 12, 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.