Individual provider · Type 1 NPI

Tyler Johnson Rodriguez

Physician Assistant · Atlanta, GA

NPI number 1063248201 Active

Practice location

4480 N Shallowford Rd Ste 200
Atlanta, GA 30338-6410

Call (336) 653-9493 Map

Mailing address

982 Memorial Dr SE Apt 516
Atlanta, GA 30316-4474

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X12613 (GA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1063248201

Tyler Johnson Rodriguez's National Provider Identifier is 1063248201, issued on Sep 13, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Atlanta, GA. The record was last updated on Jan 6, 2026.