MEDICARE: DR. RYAN RODE MD

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	2084P0800X	Psychiatry Physician	341079	NY
2	2084P0800X	Psychiatry Physician	MD89667	SC
3	2084P0800X	Psychiatry Physician	109869	GA

General Provider Information

NPI Number	:	1750949731
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RYAN RODE MD

Provider Business Mailing Address
First Line	:	430 ENGLEWOOD AVE SE APT 526
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30315-2522
Country	:	US
Telephone Number	:	214-908-0571
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 COLONIAL CENTER PKWY STE 100
Second Line	:
City	:	ROSWELL
State	:	GA
Zip	:	30076-4892
Country	:	US
Telephone Number	:	214-908-0571
Fax Number	:

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

Provider Enumeration Date	:	06/04/2019
Last Update Date	:	02/11/2026

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Directions to “ DR. RYAN RODE MD” Practice Location

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