P Praxis·MD
● Active Type 1 · Individual

Anayeli Rodriguez, FNP

Nurse Practitioner·Fort Moore, GA· NPI 1700454550 · Enumerated 2021 · 4 years on NPI
Rodriguez is 1 of 8 nurse practitioner providers in Fort Moore and 1 of 8826 in Georgia.
NPI age
4 years
Enumerated 2021-06-16
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
IL
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-11-19
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 8826 active nurse practitioner providers in Georgia.

NPI age
4 years
↓ 3 yr below median (7 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
1
In the 20% of peers with subspecialties

NPI lifetime · 2021 → 2026

2021-06Enumerated in NPPES
2021 2026

Where they practice

Practice location
6600 Van Aalst Blvd
Fort Moore, GA 319052102
📞 7624082273
Mailing address
16423 Coventry Ln
Crest Hill, IL 604030718
📞 7739668118

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    IL license #209.021970 taxonomy 363LF0000X
  • Military Health Care Provider
    Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
    taxonomy 171000000X

Practice context

Part of a multi-provider practice. 115 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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