JAVIELYS MARIE RODRIGUEZ-CASIANO (MD) – Family Medicine Physician, NPI 1396495529

JAVIELYS MARIE RODRIGUEZ-CASIANO (MD) is a healthcare provider. based in Kathleen, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 101702 (GA). The NPI Number for JAVIELYS MARIE RODRIGUEZ-CASIANO (MD) is 1396495529

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
JAVIELYS MARIE RODRIGUEZ-CASIANO (MD)
NPI
1396495529
Phone
(478) 975-6890
Address
1118 Ga Highway 96
Enumeration Date
29 March 2022
Last Update Date
4 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4789756720
Graduation Year
2021 (5 years ago)
PAC ID
7113308172
Group Practice PAC ID
4284797580
Professional Enrollment ID
I20251016001952
Address ID
GA310933023WA233XXRDXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

3,102 FAMILY PRACTICE in GA

Provider Addresses for JAVIELYS MARIE RODRIGUEZ-CASIANO (MD)

  • 1118 Ga Highway 96

    Kathleen, GA 310472111

    Phone: (478) 975-6890

    Fax: (478) 975-6895

    Type: Location

  • 520 Ga Highway 247 S Ste 501

    Bonaire, GA 310053886

    Phone: (478) 352-7110

    Fax: (478) 352-7119

    Type: Location

  • 233 N HOUSTON RD STE 140E

    WARNER ROBINS, GA 310933023

    Phone: (478) 975-6880

    Fax: (478) 975-6869

    Type: Mailing

  • 233 N HOUSTON RD STE 140A

    WARNER ROBINS, GA 310933023

    Phone: (478) 975-6720

    Fax: (478) 975-6766

    Type: Mailing

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: 2025-10-16

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
I20251016001952IFamily PracticeGATBD

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 31047)

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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: 4284797580View full group profile
NameSpecialtyState
Family PracticeGA
Interventional Cardiology, Internal MedicineGA
Family PracticeGA
Pediatric MedicineGA
Family PracticeFL
Emergency MedicineGA
Internal MedicineGA
Internal Medicine, Pediatric MedicineGA
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineGA
Internal MedicineGA

Reviews

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Frequently asked questions

Where can patients find JAVIELYS MARIE RODRIGUEZ-CASIANO (MD)'s NPI?
You can confirm JAVIELYS MARIE RODRIGUEZ-CASIANO (MD) with NPI 1396495529; it appears in the national provider directory.
Is JAVIELYS MARIE RODRIGUEZ-CASIANO (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is JAVIELYS MARIE RODRIGUEZ-CASIANO (MD)?
The page reflects Family Medicine Physician for JAVIELYS MARIE RODRIGUEZ-CASIANO (MD). Clinical services aligned with this taxonomy classification.
Where is JAVIELYS MARIE RODRIGUEZ-CASIANO (MD)'s primary listing?
We display Kathleen, Georgia because that is what the record indicates for JAVIELYS MARIE RODRIGUEZ-CASIANO (MD).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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