JUSTIN HUGH ROBERTS (NPI# 1407481146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407481146 |
| Entity Type | Individual |
| Full Name | JUSTIN HUGH ROBERTS |
| Credential | PA-C |
| Practice Address |
901 18th St E Tifton GA 31794-3648 |
| Mailing Address |
907 18th St E Ste 400 Tifton GA 31794-3684 |
| Practice Telephone | 2293827120 |
| Mailing Telephone | 2293533450 |
| Mailing Fax Number | 2293536060 |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2020-03-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 9662 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962953158 | Justin Roberts | Nurse Practitioner | 333 S 38th St Ste E, Muskogee, OK 74401-4937 | 2016-10-22 |
| 1073880746 | Justin L Roberts | Dentist | 807 Spring Forest Road, Raleigh, NC 27609 | 2011-11-24 |
| 1619057064 | Justin W. Roberts | Otolaryngology | 501 West Pine Street, Farmington, MO 63640 | 2006-10-17 |
| 1063045425 | Justin Ryan Roberts | Pharmacist | 2950 S Newburgh Rd, Wayne, MI 48184-1002 | 2020-02-13 |
| 1083260749 | Justin Roberts | Behavioral Analyst | 600 N 1st St, Las Vegas, NV 89101-1904 | 2019-08-16 |
| 1881172419 | Justin Roberts | Optometrist | 623 Atwells Ave, Providence, RI 02909-7403 | 2018-08-06 |
| 1548754054 | Justin Roberts | Dentist | 301 S J T Stites St, Sallisaw, OK 74955-9302 | 2018-06-18 |
| 1255887915 | Justin Roberts | Spec/Tech, Pathology | 2100 Stantonsburg Rd, Greenville, NC 27834-6028 | 2016-08-31 |
| 1174978563 | Justin Douglas Roberts | Student in an Organized Health Care Education/Training Program | 355 Grand St, Jersey City, NJ 07302-4321 | 2016-05-04 |
| 1780047340 | Justin Roberts | Physical Therapist | 4100 Lake Otis Pkwy Ste 106, Anchorage, AK 99508-5230 | 2016-03-31 |
| Street Address |
901 18TH ST E |
| City | TIFTON |
| State | GA |
| Zip Code | 31794-3648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003819467 | William A Guest | Internal Medicine | 901 18th St E, Tifton, GA 31794-3648 | 2005-05-31 |
| 1881203305 | Tift Regional Health System Inc | Family Medicine | 901 18th St E, Tifton, GA 31794-3648 | 2020-07-30 |
| 1306466206 | Southwell Ambulatory Inc | Clinic/Center | 901 18th St E, Tifton, GA 31794-3648 | 2020-04-21 |
| 1558992479 | Justin Giddens | Nurse Anesthetist, Certified Registered | 901 18th St E, Tifton, GA 31794-3648 | 2020-01-29 |
| 1629617147 | Taylor Burrage | Dietitian, Registered | 901 18th St E, Tifton, GA 31794-3648 | 2020-01-01 |
| 1871155002 | Christina Lynn Davis | Nurse Practitioner | 901 18th St E, Tifton, GA 31794-3648 | 2019-07-09 |
| 1306323415 | Lorenzo Gomez | Dietitian, Registered | 901 18th St E, Tifton, GA 31794-3648 | 2018-07-21 |
| 1720564677 | Erin Elizabeth Clemmons | Dietitian, Registered | 901 18th St E, Tifton, GA 31794-3648 | 2018-07-13 |
| 1851891063 | Sarah Loepker | Nurse Practitioner | 901 18th St E, Tifton, GA 31794-3648 | 2018-02-14 |
| 1720595457 | John William Roberts II | Registered Nurse | 901 18th St E, Tifton, GA 31794-3648 | 2018-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234043 | Deloris Lunsford | Licensed Practical Nurse | 903 Washington St., Tifton, GA 31794 | 2020-01-17 |
| 1194383075 | William Jordan Kinnett | Registered Nurse | 1205 Tift Ave N, Tifton, GA 31794 | 2019-06-05 |
| 1598321200 | Courtlyn Christanna Fussell | Pharmacist | 2201 Hwy 41 N, Tifton, GA 31794 | 2019-05-17 |
| 1376027722 | Martha Gibbs | Nurse Practitioner | Affinity Clinic/west Campus, 2225 Us Hwy 41 North, Tifton, GA 31794 | 2018-09-21 |
| 1427541044 | Rebekah F Cottle | Speech-Language Pathologist | 2227 Highway 41 North, Tifton, GA 31794 | 2018-06-08 |
| 1790280857 | Tift Regional Health System Inc | Ophthalmology | 1803 Old Ocilla Road, Tifton, GA 31794 | 2018-03-29 |
| 1568975431 | Skyler Clark | Pharmacist | 2201 North 12th Street, Tifton, GA 31794 | 2017-11-14 |
| 1538606306 | Imagine Peace Counseling LLC | Counselor | 223 E 2nd Street, Suite B, Tifton, GA 31794 | 2017-01-31 |
| 1073056347 | Jessica Tumbling | Contractor | 219 Savannah Way, Tifton, GA 31794 | 2016-11-18 |
| 1992159503 | Joseph Thomas Seagraves Jr. | Nurse Practitioner | 901 East 18th Street, Tifton, GA 31794 | 2016-04-20 |
| Find all providers in zip 31794 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164510244 | Deanna Setters Sanders | Physician Assistant | 1824 Lee Ave, Tifton, GA 31794-3639 | 2006-10-11 |
| 1275562266 | Thomas S Kraemer | Physician Assistant | 2735 Central Ave S, Tifton, GA 31794-5645 | 2006-07-02 |
| 1124020425 | Robert Jay Muterspaugh | Physician Assistant | 802 18th St E, Tifton, GA 31794-3661 | 2005-06-01 |
| 1639423189 | Courtney Brooke Stevens | Physician Assistant | 1007 Greenfield Dr, Tifton, GA 31794-3795 | 2012-11-06 |
| 1710257696 | Leigh Fountain Curtis | Physician Assistant | 901 18th St E, Tifton, GA 31794-3648 | 2012-01-09 |
| 1518257393 | Allison Marie Bell | Physician Assistant | 1007 Greenfield Dr, Tifton, GA 31794-3795 | 2011-04-13 |
| 1942512561 | Kathryn Blevins | Physician Assistant | 901 18th St E, Tifton, GA 31794-3648 | 2010-07-12 |
| 1437381266 | Russell During | Physician Assistant | 901 18th St E, Tifton, GA 31794-3648 | 2009-08-12 |
| 1093976508 | Shaina Linell Mcgordon | Physician Assistant | 901 18th St E, Tifton, GA 31794-3648 | 2008-06-18 |
| 1235307794 | Elizabeth L Norman | Physician Assistant | 901 18th St E, Tifton, GA 31794-3648 | 2008-02-18 |
| Find all providers in TIFTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.