MEDICARE: HALIE MORGAN RODINO DNP, APRN, FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	APRN-NP271725	GA

General Provider Information

NPI Number	:	1316792286
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HALIE MORGAN RODINO DNP, APRN, FNP-BC

Provider Business Mailing Address
First Line	:	8615 DOWNS RD
Second Line	:
City	:	WINSTON
State	:	GA
Zip	:	30187-1908
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1325 COMMERCE DR STE 300
Second Line	:
City	:	PEACHTREE CITY
State	:	GA
Zip	:	30269-3582
Country	:	US
Telephone Number	:	770-626-3163
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2024
Last Update Date	:	04/03/2026

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