Ivan Regalado Rodriguez
NPI 1639871866 · Family Nurse Practitioner · Fortson, GA
Ivan Regalado Rodriguez is a Family Nurse Practitioner provider in Fortson, GA (NPI 1639871866).
Provider details
- NPI number
- 1639871866
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- APRN11025390 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-03-21
- Last updated
- 2025-10-12
- Certified
- 2025-10-12
Frequently asked questions
- What is Ivan Regalado Rodriguez's NPI number?
- Ivan Regalado Rodriguez's National Provider Identifier (NPI) is 1639871866, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ivan Regalado Rodriguez's specialty?
- Ivan Regalado Rodriguez is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Ivan Regalado Rodriguez located?
- Ivan Regalado Rodriguez's practice location on file with NPPES is 4614 Wisteria Ln, Fortson, GA 31808-6986.
- What is Ivan Regalado Rodriguez's phone number?
- The practice phone number listed in the NPPES registry for Ivan Regalado Rodriguez is (770) 882-1728.
- Is Ivan Regalado Rodriguez's NPI active?
- Yes — Ivan Regalado Rodriguez's NPI (1639871866) is active in the NPPES registry as of the last update on 2025-10-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.