RODRIGUEZ MD
NPI 1568778306
Family Medicine in Lawrenceville, GA
About Rodriguez Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RODRIGUEZ MD (NPI 1568778306) is a healthcare organization registered as a family medicine in Lawrenceville, Georgia and active in the NPI registry since August 2010. The organization lists Neville Street, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Rodriguez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Rodriguez MD, which bills Medicare for the services they deliver. Of these, 6 practice at this address. They are listed nearest first.
Clinicians, nearest first (8)
Lawrenceville, GA 30046
Lawrenceville, GA 30046
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 11D2014967
Rodriguez MD · Lawrenceville, GAFrequently 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 Rodriguez MD, LLC's NPI number?
The NPI number for Rodriguez MD, LLC is 1568778306. It was assigned to this organization in the NPPES registry on August 30, 2010. The provider is doing business as Rodriguez MD.
Where is Rodriguez MD, LLC located?
Rodriguez MD, LLC is located at 771 Old Norcross Rd Terrace Park Medical Center; Suite 120, Lawrenceville, GA 30046. The listed phone number is (770) 670-6920.
What is Rodriguez MD, LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Rodriguez MD, LLC enrolled in Medicare?
Yes. Rodriguez MD, LLC is registered in the Medicare PECOS enrollment system.
When is Rodriguez MD, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Georgia, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Rodriguez MD, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Rodriguez MD, LLC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (5), Internal Medicine (2) and Family Practice (1). Of these, 6 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Rodriguez MD, LLC accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Rodriguez MD, LLC 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 Rodriguez MD, LLC was last updated on October 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Rodriguez Md · NPI 1568778306
Family Medicine organization in Lawrenceville, Georgia. Organization record, active in the CMS NPPES registry since August 30, 2010.
## Identity
- **NPI:** 1568778306 (Entity type: Organization)
- **Enumerated:** August 30, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Rodriguez Md, Llc
- **Organization subpart:** No
- **Authorized official:** Neville Street, MANAGER
## Practice location
- **Address:** 771 OLD NORCROSS RD, TERRACE PARK MEDICAL CENTER; SUITE 120, Lawrenceville, GA 30046-4386
- **Phone:** (770) 670-6920 · **Fax:** (770) 670-6927
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Georgia, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 8 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Internal Medicine (2), Family Practice (1); 6 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 14, 2015
- **Other identifiers:** Medicare PIN 202G701655 (GA); Medicaid 003105719A (GA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1568778306) · Data from the CMS NPPES public registry.