Individual provider Active NPI

Jeffrey W Roberts, CRNA

  • Certified Registered Nurse Anesthetist
  • Moultrie, GA
National Provider Identifier
1346757481
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN215734 Issued in GA
Practice address
3131 S Main St
Moultrie, GA 31768-6925
Phone
(229) 985-3420
NPI assigned
Jan 10, 2018
Sex
Male
Sole proprietor
No

Organizations & group practices 8

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeastern Anesthesia PLLC 83 clinicians
Hospitalist Medicine Physicians of Georgia - TCS, PC 112 clinicians
Ams Southeast LLC 83 clinicians

Practice addresses (Care Compare)

2200 E Show Low Lake Rd
Show Low, AZ 85901-7831
Phone (928) 537-4375

710 Ctr St
Columbus, GA 31901-1527
Phone (706) 571-1000

902 N 7TH St
Cordele, GA 31015-3234
Phone (229) 276-3100

Hospital & facility affiliations

  • Piedmont Columbus Regional Midtown Hospital, Columbus, GA, CCN 110064
  • Colquitt Regional Medical Center Hospital, Moultrie, GA, CCN 110105
  • Summit Healthcare Regional Medical Center Hospital, Show Low, AZ, CCN 030062

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AZ2 enrollments

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20180711001820 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2365798063 Reassigns benefits to 4 organizations
I20210428002575 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 2365798063 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN215734GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ams Southeast LLC Nurse Anesthetist, Certified Registered CurrentSince May 20, 2025 Accepting new patients
Colquitt Regional Anesthesia, LLC CurrentSince Jan 11, 2018 Accepting new patients
Northeastern Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2024 Accepting new patients
Irwin County Anesthesia, Inc. Nurse Anesthetist, Certified Registered CurrentSince Oct 8, 2018 Accepting new patients
Hospitalist Medicine Physicians of Georgia - TCS, PC CurrentSince Feb 1, 2026 Accepting new patients
Valley Regional Anesthesia Associates Inc CurrentSince Dec 30, 2024 Accepting new patients
Greater Anesthesia Solutions Nurse Anesthetist, Certified Registered CurrentSince Jun 28, 2022 Accepting new patients
Globe Crna Company, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

560 N Switzer Canyon Dr
Flagstaff, AZ 86001
Phone (928) 774-3044

5330 S Highway 95
Fort Mohave, AZ 86426
Phone (928) 788-2273

5656 S Power Rd
Gilbert, AZ 85295
Phone (480) 840-3733

5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

1800 E Van Buren St
Phoenix, AZ 85006
Phone (602) 251-8100

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

2260 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 481-7000

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

902 N 7th St
Cordele, GA 31015
Phone (229) 276-3100

3131 Thomasville Hwy
Moultrie, GA 31768
Phone (229) 502-9769

710 N Irwin Ave
Ocilla, GA 31774
Phone (229) 468-3800

1948 Old Ocilla Rd
Ste B
Tifton, GA 31794
Phone (229) 386-5222

4100 International Plz
Ste 800
Ft Worth, TX 76109
Phone (855) 373-6862

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN215734 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

3131 S Main St
Moultrie, GA 31768-6925

Mailing address

8516 Laird St
Panama City Beach, FL 32408-7820
Phone (229) 891-6119

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 2, 2025.

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1346757481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8516 LAIRD ST",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324087820",
            "telephone_number": "229-891-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 S MAIN ST",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686925",
            "telephone_number": "229-985-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JEFFREY",
        "middle_name": "W",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-10",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN215734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moultrie, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.