Nathan Kelly Roberson (NPI# 1023532280, PAC ID# 6507122306) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1023532280 |
PAC ID by PECOS | 6507122306 |
Professional Enrollment ID | I20171110002426 |
Full Name | Nathan Kelly Roberson |
Organization Legal Name | VALDOSTA GASTROENTEROLOGY ASSOCIATES, LLC |
Address |
410 Connell Rd Valdosta GA 31602-1898 |
Phone Number | 2292441570 |
Gender | M |
Graduation Year | 2017 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 3577540459 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
110122 | SOUTH GEORGIA MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
410 Connell Rd, Valdosta, GA 31602-1898 | 2292441570 | VALDOSTA GASTROENTEROLOGY ASSOCIATES, LLC |
Organization Legal Name | VALDOSTA GASTROENTEROLOGY ASSOCIATES, LLC |
Physicians | 4 |
Name | Specialty | Organization | Address |
---|---|---|---|
Carl Woods | Gastroenterology | Valdosta Gastroenterology Associates, LLC | 410 Connell Rd, Valdosta, GA 31602-1898 |
Eric M Ward | Gastroenterology | Valdosta Gastroenterology Associates, LLC | 410 Connell Rd, Valdosta, GA 31602-1898 |
Kathryn C Watt | Nurse Practitioner | Valdosta Gastroenterology Associates, LLC | 410 Connell Rd, Valdosta, GA 31602-1898 |
Street Address |
410 CONNELL RD |
City | VALDOSTA |
State | GA |
Zip | 31602-1898 |
Name | Specialty | Organization | Address |
---|---|---|---|
Carl Woods | Gastroenterology | Valdosta Gastroenterology Associates, LLC | 410 Connell Rd, Valdosta, GA 31602-1898 |
Milledge Newton Jr. | Pulmonary Disease | South Georgia Medical Associates, PC | 410 Connell Rd, Valdosta, GA 31602-1898 |
Joseph S Thomas | Internal Medicine | 410 Connell Rd, T, Valdosta, GA 31602-1407 | |
Eric M Ward | Gastroenterology | Valdosta Gastroenterology Associates, LLC | 410 Connell Rd, Valdosta, GA 31602-1898 |
Kathryn C Watt | Nurse Practitioner | Valdosta Gastroenterology Associates, LLC | 410 Connell Rd, Valdosta, GA 31602-1898 |
Name | Specialty | Organization | Address |
---|---|---|---|
Justin Haskin | Nurse Practitioner | Js Medical Diagnostics, LLC | 3790 Old Us Hwy 41 N, Suite B, Valdosta, GA 31602 |
Sheri L Swader | Neurology | Js Medical Diagnostics, LLC | 3790 Old Us Hwy 41 N, Suite B, Valdosta, GA 31602 |
Judit T Sule | Internal Medicine | Js Medical Diagnostics, LLC | 3790 Old Us Hwy 41 N, Suite B, Valdosta, GA 31602 |
Revajo S Broadwater | Physical Therapy | 3537 N Crossing Circle, Valdosta, GA 31602-1019 | |
Barbara F Frier | Clinical Social Worker | Valdosta Psychiatric Associates, LLC | 3541 N Crossing Circle, Valdosta, GA 31602-1019 |
Mary Fulp-pye | Clinical Social Worker | Valdosta Psychiatric Associates, LLC | 3541 N Crossing Circle, Valdosta, GA 31602-1019 |
Jennifer Kenyon | Clinical Social Worker | Valdosta Psychiatric Associates, LLC | 3541 N Crossing Circle, Valdosta, GA 31602-1019 |
Joel Leland Morgan | Psychiatry | Valdosta Psychiatric Associates, LLC | 3541 N Crossing Circle, Valdosta, GA 31602-1019 |
Janice L Breidenstein | Clinical Social Worker | Valdosta Psychiatric Associates, LLC | 3541 N Crossing Circle, Valdosta, GA 31602-1019 |
Eric Christian Stiefel | Orthopedic Surgery | Valdosta Orthopedic Associates PC | 3527 N Valdosta Rd, Valdosta, GA 31602-1055 |
Find all physicians in zip 31602 |
City | VALDOSTA |
Zip Code | 31602 |
Specialty | NURSE PRACTITIONER |
City + Specialty | VALDOSTA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Nathan Kelly Roberson.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.