| Daniel S Roberson, PA-C | |
|
1371 Church Street Ext Ne Ste 200, Marietta, GA 30060-7913 | |
| (678) 344-8900 | |
| (678) 666-5201 |
| Full Name | Daniel S Roberson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 1371 Church Street Ext Ne Ste 200, Marietta, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780044610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 7920 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northside Hospital Cherokee | Canton, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Urology Institute Of Georgia | 1759552607 | 57 |
| Entity Name | Albany Area Primary Health Care, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780608992 PECOS PAC ID: 7911811922 Enrollment ID: O20040217000509 |
| Entity Name | Advanced Urology Institute of Georgia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073896510 PECOS PAC ID: 1759552607 Enrollment ID: O20110926000393 |
| Entity Name | National Family Medical Associates, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477287720 PECOS PAC ID: 7214313345 Enrollment ID: O20230502003427 |
| Entity Name | National Family Medical Associates of Georgia, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396527321 PECOS PAC ID: 3870940448 Enrollment ID: O20231103002880 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel S Roberson, PA-C 1551 Janmar Rd, Snellville, GA 30078-5606 Ph: (470) 579-5600 | Daniel S Roberson, PA-C 1371 Church Street Ext Ne Ste 200, Marietta, GA 30060-7913 Ph: (678) 344-8900 |
Amanda Michelle Outly, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 61 Whitcher St Ne Ste 3110, Marietta, GA 30060 Phone: 770-422-2326 Fax: 770-422-7231 |
Mrs. Torey Charlise Davis-bogan, SA-C, CST Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3105 Rome Ct Sw, Marietta, GA 30064 Phone: 317-664-0771 |
Yumei Manzano, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 699 Church St Ne Ste 340, Marietta, GA 30060 Phone: 678-355-1620 |
Jennifer Grimm, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 340 Kennestone Hospital Blvd Ste 100, Marietta, GA 30060 Phone: 770-402-6438 |
Mrs. Lisa M Lewis, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4800 Olde Towne Pkwy Ste 250, Marietta, GA 30068 Phone: 770-971-3376 |
Ms. Megan Nichole Dalton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 340 Kennestone Hospital Blvd Ste 100, Marietta, GA 30060 Phone: 770-281-5100 Fax: 678-581-7100 |
Jonathan Collier Stone, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1044 Azalea Cir, Marietta, GA 30062 Phone: 770-354-0584 |