Active NPI
Michael Roberts III
- Behavior Technician
- Macon, GA
National Provider Identifier
1164335493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 983 Park PL
Macon, GA 31201-2134 - Phone
- (912) 695-0404
- NPI assigned
- Sep 26, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
983 Park PL
Macon, GA 31201-2134
Mailing address
983 Park PL
Macon, GA 31201-2134
Phone (912) 695-0404
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790380800000",
"number": "1164335493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "983 PARK PL",
"city": "MACON",
"state": "GA",
"postal_code": "312012134",
"telephone_number": "912-695-0404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "983 PARK PL",
"city": "MACON",
"state": "GA",
"postal_code": "312012134",
"telephone_number": "912-695-0404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "MICHAEL",
"name_suffix": "III",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-26",
"last_updated": "2026-09-26",
"certification_date": "2026-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.