Active NPI
James Anthony Roberts, MSW
- Clinical Social Worker
- Cusseta, GA
National Provider Identifier
1003555095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- MSW009835
- Practice address
- 132 Old Louvale Rd
Cusseta, GA 31805-3908 - Phone
- (706) 580-1204
- NPI assigned
- May 31, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | MSW009835 | GA | Primary |
Addresses
Primary practice location
132 Old Louvale Rd
Cusseta, GA 31805-3908
Mailing address
132 Old Louvale Rd
Cusseta, GA 31805-3908
Phone (706) 580-1204
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://outlook.live.com/mail/0/inbox/id/AQQkADAwATYwMAItOTY5My04YzQ4LTAwAi0wMAoAEADqhnyv36FLX5%2FeNJo1Cdw4 | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MSW009835 | GA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653955200000",
"number": "1003555095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 OLD LOUVALE RD",
"city": "CUSSETA",
"state": "GA",
"postal_code": "318053908",
"telephone_number": "706-580-1204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 OLD LOUVALE RD",
"city": "CUSSETA",
"state": "GA",
"postal_code": "318053908",
"telephone_number": "706-580-1204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "JAMES",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-31",
"last_updated": "2022-05-31",
"certification_date": "2022-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "MSW009835",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://outlook.live.com/mail/0/inbox/id/AQQkADAwATYwMAItOTY5My04YzQ4LTAwAi0wMAoAEADqhnyv36FLX5%2FeNJo1Cdw4",
"affiliation": "N",
"endpointDescription": "mail",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "mail",
"address_1": "132 Old Louvale Rd",
"city": "Cusseta",
"state": "GA",
"country_code": "US",
"postal_code": "318053908",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cusseta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.