Active NPI
Heidi N Robella, P.A.
- Physician Assistant
- Roswell, GA
National Provider Identifier
1437469822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 11825
- Practice address
- 555 Sun Valley Dr Ste C1
Roswell, GA 30076-5621 - Phone
- (678) 621-8100
- Fax
- (844) 313-9346
- NPI assigned
- Oct 19, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 11825 | GA | Primary |
Addresses
Primary practice location
555 Sun Valley Dr Ste C1
Roswell, GA 30076-5621
Mailing address
4299 Two Bridge Dr
Buford, GA 30518-1545
Phone (423) 284-6705
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730246400000",
"number": "1437469822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4299 TWO BRIDGE DR",
"city": "BUFORD",
"state": "GA",
"postal_code": "305181545",
"telephone_number": "423-284-6705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 SUN VALLEY DR STE C1",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300765621",
"telephone_number": "678-621-8100",
"fax_number": "844-313-9346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBELLA",
"first_name": "HEIDI",
"middle_name": "N",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-19",
"last_updated": "2024-10-30",
"certification_date": "2024-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "11825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.