ALLISON TUCKER RODRIGUEZ (NP-C) – Family Nurse Practitioner, NPI 1477312759

ALLISON TUCKER RODRIGUEZ (NP-C) is a healthcare provider. based in Douglas, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. RN17597 (GA). The NPI Number for ALLISON TUCKER RODRIGUEZ (NP-C) is 1477312759

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
ALLISON TUCKER RODRIGUEZ (NP-C)
NPI
1477312759
Phone
(912) 383-7826
Address
306 WESTSIDE DR
Enumeration Date
18 March 2024
Last Update Date
3 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9123837826
Graduation Year
2023 (3 years ago)
PAC ID
0446692982
Group Practice PAC ID
4789608738
Professional Enrollment ID
I20240529002046
Address ID
GA315333530DO306XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

Provider Addresses for ALLISON TUCKER RODRIGUEZ (NP-C)

  • 306 WESTSIDE DR

    DOUGLAS, GA 315333530

    Phone: (912) 383-7826

    Fax: (912) 383-7299

    Type: Mailing

  • 1101 Ocilla Rd

    Douglas, GA 315332207

    Phone: (912) 383-7826

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 55 Open Payments records for all available years, with a total value of $1,095.

Total Amount is formed as General ($1,095) + Research ($0) + Ownership ($0) = $1,095.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($165).

Total Amount

$1,095

General + Research + Ownership

Payments

55

Total payment records

General Amount

$1,095

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-05-29

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
I20240529002046INurse PractitionerGATBD

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 31533)

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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: 4789608738View full group profile
NameSpecialtyState
-GA
Nurse PractitionerGA
Nurse PractitionerGA
Internal MedicineGA
Nurse PractitionerGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

What federal number belongs to ALLISON TUCKER RODRIGUEZ (NP-C)?
The federal identifier for ALLISON TUCKER RODRIGUEZ (NP-C) is NPI 1477312759.
Does this profile mean ALLISON TUCKER RODRIGUEZ (NP-C) is currently active?
Yes — ALLISON TUCKER RODRIGUEZ (NP-C) appears active in the national provider directory.
What kind of provider is ALLISON TUCKER RODRIGUEZ (NP-C)?
The page reflects Family Nurse Practitioner for ALLISON TUCKER RODRIGUEZ (NP-C). Clinical services aligned with this taxonomy classification.
Where is ALLISON TUCKER RODRIGUEZ (NP-C)'s primary listing?
We display Douglas, Georgia because that is what the record indicates for ALLISON TUCKER RODRIGUEZ (NP-C).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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