Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angie M. Rodriguez, PA-C

Individual provider Physician Assistant · NPI 1043722630

Angie M. Rodriguez, PA-C is a Physician Assistant in Braselton, Georgia. Qualified in 2017, 9 years ago. Practices with Northeast Georgia Physicians Group Inc, a 892-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
9
Licensed in
GA
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1404 River Pl Ste 201
Braselton, GA 30517-5600
Phone: (770) 219-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2675 N Decatur Rd Ste 512, Decatur, GA 30033-6134 — (470) 223-4707

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 008618 (GA)

Record details

NPI number1043722630
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 3, 2017
Last updated in NPPESMay 30, 2024
Certification dateMay 30, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Northeast Georgia Physicians Group Inc — 892 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Braselton