Janise Roebuck, NP is a
Nurse Practitioner - Family physician based in Stockbridge, Georgia. Janise Roebuck is licensed to practice in Georgia (license number F10190792) and her current practice location is 1444 Buckingham Place, Stockbridge, Georgia. She can be reached at her office (for appointments etc.) via phone at
(678) 516-4022.
NPI number for Janise Roebuck is 1023651080 and her current mailing address is 1444 Buckingham Pl, Stockbridge, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023651080.
Physician's Profile
Full Name | Janise Roebuck |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 1444 Buckingham Place, Stockbridge, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1023651080
- Provider Enumeration Date: 10/23/2019
- Last Update Date: 11/30/2021
Medical Identifiers
Medical identifiers for Janise Roebuck such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023651080 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | F10190792 (Georgia) | Secondary |
207Q00000X | Family Medicine | RN248182 (Georgia) | Secondary |
207R00000X | Internal Medicine | RN248182 (Georgia) | Secondary |
363LF0000X | Nurse Practitioner - Family | F10190792 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Janise Roebuck is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Janise Roebuck, NP 1444 Buckingham Pl, Stockbridge, GA 30281-7953 Ph: (678) 516-4022 | Janise Roebuck, NP 1444 Buckingham Place, Stockbridge, GA 30281 Ph: (678) 516-4022 |
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