Provider Profile
Ivan Regalado Rodriguez is a nurse practitioner — family practicing in Fortson, GA. This provider record is associated with NPI 1639871866.
Factual summary compiled by Guide.md from public records; not written by this provider.
License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.
4614 WISTERIA LN
Fortson, GA 31808
Ivan Regalado Rodriguez is a nurse practitioner in Fortson, GA. That is the designation recorded for this NPI in the federal registry, where it is listed as “Nurse Practitioner — Family”.
NPI registry
Ivan Regalado Rodriguez is listed at 4614 Wisteria Ln, Fortson, GA 31808. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (770) 882-1728. Contact the office directly to confirm availability and scheduling.
NPI registry
Ivan Regalado Rodriguez's National Provider Identifier is 1639871866. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Ivan Regalado Rodriguez has 3+ years experience. Registered with an NPI since 2023. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.
NPI registry
Not yet. This profile is built from public federal data and has not been confirmed by Ivan Regalado Rodriguez. If this is you, claiming it is free.
Guide.md
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