Individual provider Active NPI

Roberto Norniella, MD

  • Psychiatry Physician
  • Carolina, PR
National Provider Identifier
1487609830
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
65289 Issued in GA
Practice address
6772 Avenida Isla Verde - Isla Verde Mall
Suite 205B
Carolina, PR 00979-0000
Phone
(787) 985-7011
NPI assigned
May 24, 2006
Last updated
Oct 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 65289 GA Primary

Addresses

Primary practice location

6772 Avenida Isla Verde - Isla Verde Mall
Suite 205B
Carolina, PR 00979-0000

Mailing address

700 Breedlove Dr Ste C
Monroe, GA 30655-2064
Phone (706) 705-1687

Other practice location 1

41C Calle Acosta
Caguas, PR 00725-3503
Phone (787) 745-5610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110128000100 GA Practitioner - Psychiatry 3274501952 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University Central del Caribe Escuela de Medicina, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vest Monroe, LLCGroup PAC ID 1850671934, 2 clinicians

Practice addresses (Care Compare)

709 Breedlove Dr
Monroe, GA 30655-2055
Phone (678) 635-3500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Vest Monroe, LLC CurrentSince Nov 5, 2025 Accepting new patients
Highland Rivers CSB CurrentSince Apr 24, 2012 Accepting new patients
Highland Rivers Community Service Board Current Accepting new patients
Highland Rivers CSB CurrentSince Apr 24, 2012 Accepting new patients
First Hospital Panamericano, Inc. Past Accepting new patients
Clinica Integral Dr. Roberto Norniella MD LLC Psychiatry Past Accepting new patients
Elite Behavioral Medicine LLC Past Accepting new patients

Locations

191 Lamar Haley Pkwy
Canton, GA 30114
Phone (770) 704-1600

1401 Applewood Dr
Ste 1
Dalton, GA 30720
Phone (706) 270-5003

1503 N Tibbs Rd
Dalton, GA 30720
Phone (706) 229-4507

709 Breedlove Dr
Monroe, GA 30655
Phone (678) 635-3500

3995 S Cobb Dr SE
#A
Smyrna, GA 30080

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1487609830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 BREEDLOVE DR STE C",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306552064",
            "telephone_number": "706-705-1687",
            "fax_number": "706-705-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6772 AVENIDA ISLA VERDE - ISLA VERDE MALL",
            "address_2": "SUITE 205B",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009790000",
            "telephone_number": "787-985-7011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41C Calle Acosta",
            "address_purpose": "LOCATION",
            "city": "Caguas",
            "state": "PR",
            "postal_code": "007253503",
            "country_code": "US",
            "telephone_number": "787-745-5610",
            "fax_number": "787-745-6144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORNIELLA",
        "first_name": "ROBERTO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "65289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.