Robert Michael Licata, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

025457 Issued in GA

Practice address

2863 Johnson Ferry Rd Ste 100
Marietta, GA 30062-8363

Phone

(770) 993-2922

Fax

(770) 552-1674

NPI assigned

May 4, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Pediatric Associates, PC

  • Pediatrics Physician
  • Marietta, GA
  • NPI 1790994317
  NPD (past) Authorized official
• Pediatric Associates of Johns Creek PC

  • Pediatrics Physician
  • Suwanee, GA
  • NPI 1578685384
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1326006552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2863 JOHNSON FERRY RD STE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300628363",
            "telephone_number": "770-993-2922",
            "fax_number": "770-552-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2863 JOHNSON FERRY RD STE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300628363",
            "telephone_number": "770-993-2922",
            "fax_number": "770-552-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICATA",
        "first_name": "ROBERT",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "025457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haohai Liang, MD
• Alexander Liaugminas, M.D.
• Harry Andres Liberman, M.D.
• Lina Marcela Libreros
• Elizabeth M Licalzi, M.D.
• Jennifer Rose Liechty, NP
• Jennifer Leigh Liesegang-Switz, RN
• Life Ambulance Services Inc.
• Life Emergency Medical Services, LLC.
• Life Empowerment Services

• Pediatrics Physician in Marietta, GA
• Providers in Marietta, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.