NPI age
3 years
Enumerated 2023-03-21
● Active
Type 1 · Individual
Ivan Regalado Rodriguez
Regalado Rodriguez is 1 of 1 nurse practitioner providers in Fortson and 1 of 8826 in Georgia.
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA, FL
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-10-12
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 8826 active nurse practitioner providers in Georgia.
NPI age
3 years
↓ 4 yr below median (7 yr)
State licenses
2 states
Top 92% — 8% of peers are multi-state
Subspecialties
0
20% of peers hold subspecialties
NPI lifetime · 2023 → 2026
2023-03Enumerated in NPPES
2023
2026
Where they practice
Practice location
4614 Wisteria Ln
Fortson, GA 318086986
Mailing address
4614 Wisteria Ln
Fortson, GA 318086986
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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