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RODRIGUEZ MD
NPI 1568778306
Family Medicine in Lawrenceville, GA

Active since August 30, 2010CLIA 11D2014967 · Waiver
771 OLD NORCROSS RD, TERRACE PARK MEDICAL CENTER; SUITE 120, LAWRENCEVILLE, GA 30046(770) 670-6920(770) 670-6927 Get Directions Write a Review

NPPES record last updated: October 14, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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 holds a CLIA Waiver certificate valid through October 19, 2026 and lists Neville Street, Manager, as its authorized official.

NPPES Registry Identity

NPI1568778306
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameRODRIGUEZ MD, LLC
Location Address771 OLD NORCROSS RD, TERRACE PARK MEDICAL CENTER; SUITE 120Lawrenceville, GA 30046-4386
Mailing Address771 Old Norcross Rd, Terrace Park Medical Center; Suite 120Lawrenceville, GA 30046-4386 · (770) 670-6920 · Fax (770) 670-6927
Phone(770) 670-6920
Fax(770) 670-6927
Organization SubpartNo
Authorized OfficialNeville StreetManager · (650) 888-2848
Enumeration DateAugust 30, 2010
Last NPPES UpdateOctober 14, 2015
✔ NPI 1568778306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
771 OLD NORCROSS RD, Lawrenceville, GA 30046
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Other Names 1

Doing Business AsRodriguez Md

Other Identifiers 2

Medicare PIN202G701655GA
Medicaid003105719AGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

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, GA
Active · expires Oct 19, 2026
CLIA Number11D2014967
Laboratory TypePhysician Office
Certificate Effective DateOctober 20, 2024
Certificate Expiration DateOctober 19, 2026
Laboratory DirectorDeborah Rodriguez
Laboratory Phone(770) 670-6920
Laboratory LocationRodriguez MD771 Old Norcross Road, Suite 120 Terrece Park Med Ctr, Lawrenceville, GA 30046
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

ORTHOPEDIC SURGERY, P.C.
Durable Medical Equipment & Medical Supplies
771 OLD NORCROSS RD, SUITE 155
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 957-3040
MRS. DAVIEA ANTOINETTE TAYLOR-HICKS PA-C
Physician Assistant (Medical)
771 OLD NORCROSS RD
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 802-4045
ORTHOATLANTA, LLC
Orthopaedic Surgery
771 OLD NORCROSS RD, SUITES 155 / 390
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 205-4261
MS. JULIA S. LUPA NP
Nurse Practitioner (Women's Health)
771 OLD NORCROSS RD, SUITE 305
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 339-4000
DR. JOSE ANIBAL TORRES M.D.
Internal Medicine (Cardiovascular Disease)
771 OLD NORCROSS RD, SUITE 310
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 513-5999
JENNIFER LEECH NP
Nurse Practitioner (Women's Health)
771 OLD NORCROSS RD
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 442-3121
TUAN LE ANH BUI MD
Orthopaedic Surgery
771 OLD NORCROSS RD, SUITES 155 AND 390
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 957-0757
DR. BRIGETTE BAILEY RABITSCH O.D.
Optometrist
771 OLD NORCROSS RD, SUITE 150
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 995-5408

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 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.

Does Rodriguez MD, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2014967) is associated with this NPI, valid through October 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 10 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.