Rosemary Robertson, PHYSICIAN ASSISTANT

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

002795 Issued in GA

Practice address

BLDG 3020 Sand Hill
Ft. Benning, GA 31905

Phone

(706) 544-8987

NPI assigned

Oct 6, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295822971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4842 YOSEMITE DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319071754",
            "telephone_number": "706-544-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG 3020 SAND HILL",
            "city": "FT. BENNING",
            "state": "GA",
            "postal_code": "31905",
            "telephone_number": "706-544-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "ROSEMARY",
        "name_prefix": "Mrs.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "002795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Richardson, ECSE
• Kendra Bernitta Richardson
• Kyle James Rideout, DDS
• Bradley Rimmert, DO
• Catherine Arlene Roberts, FNP
• Andrew Alexander Robison, PA-C
• Rocky Mountain Holdings LLC
• James Calvin Rodgers, LPN, RPSGT
• Tyler Sherrod Rogers, M.D.
• Deborah Rollins

• Medical Physician Assistant in Ft. Benning, GA
• Providers in Ft. Benning, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.