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

Dr. Etienne Jose Rodriguez, MD

Individual provider Family Medicine Physician · NPI 1679709539

Dr. Etienne Jose Rodriguez, MD is a Family Practice in Dunwoody, Georgia. Graduated from Ponce School of Medicine in 2007, 19 years ago. Practices with Doctor on Demand Professionals P C, a 127-clinician group and accepts Medicare assignment. Licensed in California, Georgia, North Carolina and South Carolina and 1 more.

Years since qualifying
19
Trained at
Ponce School of Medicine
Licensed in
CA, GA, NC, SC, VA
In the registry since
2009
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5471 Chamblee Dunwoody Rd
Dunwoody, GA 30338-4114
Phone: (770) 481-0889
Fax: (770) 481-0986
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 067979 (GA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 81672 (SC)
Family Medicine Physician Taxonomy 207Q00000X · Licence 2018-02700 (NC)
Family Medicine Physician Taxonomy 207Q00000X · Licence C159178 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 0101265867 (VA)

Record details

NPI number1679709539
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 5, 2009
Last updated in NPPESSeptember 13, 2019

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolPONCE SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Doctor On Demand Professionals P C — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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