Jerry M Roberts, MD | |
4000 Shakerag Hl, Suite 201, Peachtree City, GA 30269-4047 | |
(770) 486-7111 | |
(770) 486-7131 |
Full Name | Jerry M Roberts |
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Gender | Male |
Speciality | Pediatrics |
Location | 4000 Shakerag Hl, Peachtree City, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1093761884 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 025657 (Georgia) | Primary |
Entity Name | Privia Pediatric Medical Group Of Georgia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710385513 PECOS PAC ID: 3375861032 Enrollment ID: O20150409002405 |
Mailing Address | Practice Location Address |
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Jerry M Roberts, MD Po Box 102321, Atlanta, GA 30368-2321 Ph: () - | Jerry M Roberts, MD 4000 Shakerag Hl, Suite 201, Peachtree City, GA 30269-4047 Ph: (770) 486-7111 |
Ann E Eggert, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12 Eastbrook Bnd, Peachtree City, GA 30269 Phone: 770-487-3330 Fax: 770-487-7736 | |
Dr. Annamma Daniel, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 19 East Brook Bend, Suite 200, Peachtree City, GA 30269 Phone: 770-487-3330 Fax: 770-487-7736 | |
Dr. Jack Gibson Gray, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 135 Tamerlane, Peachtree City, GA 30269 Phone: 404-771-4665 | |
W Steen James, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 375 Highway 74 N, Peachtree City, GA 30269 Phone: 770-487-1519 Fax: 770-487-1574 | |
Dr. Andrew C Agwunobi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 526 Crosstown Rd, Peachtree City, GA 30269 Phone: 770-692-1914 Fax: 770-692-1919 | |
Dr. Megan Elizabeth Almond, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 19 Eastbrook Bnd Ste 200, Peachtree City, GA 30269 Phone: 678-833-5199 Fax: 678-519-1159 |