Danice B Roberts, MD

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

69945 Issued in GA

Practice address

1801 Palmyra Rd
Albany, GA 31701-1572

Phone

(229) 434-1400

Fax

(229) 434-0040

NPI assigned

Jun 30, 2008

Last updated

Aug 22, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Albany Area Primary Health Care, Inc.

  dba East Albany Medical Center

  • Federally Qualified Health Center (FQHC)
  • Albany, GA
  • NPI 1780608992
  Medicare reassignment NPD
• Southern Kids Care, PC

  • Pediatrics Physician
  • Albany, GA
  • NPI 1376288522
  NPD Authorized official
• Albany Area Primary Health Care, Inc

  dba Radium Springs Middle School-Based Health Center

  • Federally Qualified Health Center (FQHC)
  • Albany, GA
  • NPI 1013709625
  NPD
• Albany Area Primary Health Care, Inc.

  dba Turner Elementary School-Based Health Center

  • Federally Qualified Health Center (FQHC)
  • Albany, GA
  • NPI 1487999124
  NPD
• Albany Area Primary Health Care, Inc.

  dba South Albany Medical Center

  • Federally Qualified Health Center (FQHC)
  • Albany, GA
  • NPI 1023043692
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377129600000",
    "number": "1215199203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 PALMYRA RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011572",
            "telephone_number": "229-434-1400",
            "fax_number": "229-434-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 PALMYRA RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011572",
            "telephone_number": "229-434-1400",
            "fax_number": "229-434-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "DANICE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2013-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "GA",
            "license": "69945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Mitchum Rivas, DMD
• Henry Rivers, ATC,CSCS
• Robert B. Moss, Jr., P.C. (Moss & Brannan Orthodontics)
• Robert V. Glover, Jr., M.D., P.C.
• Amanda Roberts
• Phillip Roberts, MD
• Shirley Roberts, MAC-CAC III
• Valerie Roberts, PMHNP
• Barbara M Robinson, PHARMD
• Dawn R Robinson, B.S.W., M.S.ED.

• Pediatric Adolescent Medicine Physician in Albany, GA
• Providers in Albany, GA by specialty
• Pediatric Adolescent Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.