David Julius Roth, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

032284 Issued in GA

Practice address

1462 Montreal Rd Ste 303
Tucker, GA 30084-6924

Phone

(770) 938-9761

Fax

(770) 938-6509

NPI assigned

May 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Emory Medical Group, LLC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Atlanta, GA
  • NPI 1568661510
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203638400000",
    "number": "1245289735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1462 MONTREAL RD STE 303",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300846924",
            "telephone_number": "770-938-9761",
            "fax_number": "770-938-6509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1462 MONTREAL RD STE 303",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300846924",
            "telephone_number": "770-938-9761",
            "fax_number": "770-938-6509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "DAVID",
        "middle_name": "JULIUS",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2008-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "032284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000405457F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charlene Y Robinson, M.D
• Jairus Daniel Robinson, LCSW
• Deana Rogers, PHARMD
• Maryann Romski, PH.D.
• Vera Ann Rosell
• Sharon D Rowland-Scott, PA-C
• John A Ruch, DPM
• Laronta Upson Rush, PH.D.
• Emily D Russ, LCSW
• Brian Russell, LCSW

• Internal Medicine Physician in Tucker, GA
• Providers in Tucker, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.