Individual provider Active NPI

Jamison R. Roberts, M.D.

  • Pediatrics Physician
  • Newnan, GA
National Provider Identifier
1528042678
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
038347 Issued in GA
Practice address
2959 Sharpsburg McCullum Rd
Newnan, GA 30265-2297
Phone
(770) 502-2020
NPI assigned
Dec 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2025-03380 NC
Pediatrics Physician 208000000X 038347 GA Primary

Addresses

Primary practice location

2959 Sharpsburg McCullum Rd
Newnan, GA 30265-2297

Mailing address

2959 Sharpsburg McCullum Rd
Newnan, GA 30265-2297
Phone (770) 502-2020

Other practice location 1

66 Lake Concord Rd NE
Concord, NC 28025-3057
Phone (704) 403-7720

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
I20120124000888 GA Practitioner - Pediatric Medicine 1850386723 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2025-03380NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Pediatric Physicians LLC Pediatrics CurrentSince Dec 12, 2011 Accepting new patients
Papp Clinic Pediatrics PastSince Sep 11, 2003 Accepting new patients

Locations

2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421

60 Oak Hill Blvd
Ste 204
Newnan, GA 30265
Phone (678) 633-3350

2959 Sharpsburg McCullum Rd
Newnan, GA 30265
Phone (770) 502-2000

189 Jefferson Pkwy
Newnan, GA 30263
Phone (706) 369-5440

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1528042678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2959 SHARPSBURG MCCULLUM RD",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652297",
            "telephone_number": "770-502-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2959 SHARPSBURG MCCULLUM RD",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652297",
            "telephone_number": "770-502-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "66 Lake Concord Rd NE",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280253057",
            "country_code": "US",
            "telephone_number": "704-403-7720",
            "fax_number": "704-403-7730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JAMISON",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2025-03380",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "038347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.