MS. MARIAH LEIGH RODRIGUEZ (PA) – Physician Assistant, NPI 1003367541

MS. MARIAH LEIGH RODRIGUEZ (PA) is a healthcare provider. based in Centreville, Alabama. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 0010-07406 (NC). The NPI Number for MS. MARIAH LEIGH RODRIGUEZ (PA) is 1003367541

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
MS. MARIAH LEIGH RODRIGUEZ (PA)
NPI
1003367541
Phone
(205) 926-2992
Address
405 BELCHER ST
Enumeration Date
19 October 2016
Last Update Date
8 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9803080141
Graduation Year
2016 (10 years ago)
PAC ID
0244510147
Group Practice PAC ID
0648174904
Professional Enrollment ID
I20171108003653
Address ID
NC282043041CH445XXDRXX400
Telehealth
Yes

Contacts

Secure Messaging
mbutler722738@direct.novanthealth.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:9State licenses:1Other namesUpdated within 12 months

1,201 PHYSICIAN ASSISTANT in AL

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Provider Addresses for MS. MARIAH LEIGH RODRIGUEZ (PA)

  • 405, Belcher Street, West Centreville, Centreville, Bibb County, Alabama, 35042, United States

    CENTREVILLE, AL 350422946

    Phone: (205) 926-2992

    Fax: (205) 316-7675

    Type: Location

  • 7004 Smith Corners Blvd Ste A

    Charlotte, NC 282693827

    Phone: (704) 688-9650

    Fax: (704) 688-9651

    Type: Location

  • PO BOX 601843

    CHARLOTTE, NC 282601843

    Phone:

    Type: Mailing

  • 11840 SOUTHMORE DR STE 100

    CHARLOTTE, NC 282774821

    Phone: (980) 308-0169

    Fax: (980) 308-0173

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-11-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171108003653IPhysician AssistantNCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35042)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648174904View full group profile

Reviews

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Frequently asked questions

Can I verify MS. MARIAH LEIGH RODRIGUEZ (PA) with an NPI only?
You can start verification with NPI 1003367541 for MS. MARIAH LEIGH RODRIGUEZ (PA), then check state licensing separately.
Is MS. MARIAH LEIGH RODRIGUEZ (PA) listed as active for patients and plans?
The listing shows MS. MARIAH LEIGH RODRIGUEZ (PA) as active in the NPI system.
What healthcare role does MS. MARIAH LEIGH RODRIGUEZ (PA) hold?
Scheduling teams often label MS. MARIAH LEIGH RODRIGUEZ (PA) under Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for MS. MARIAH LEIGH RODRIGUEZ (PA)?
MS. MARIAH LEIGH RODRIGUEZ (PA)'s geographic hint is Centreville, Alabama in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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