Reuben S Roberts, MD
Individual provider Active NPI Family Medicine Physician · Hawkinsville, GA
NPI 1669477295 · NPPES record last updated Jul 7, 2011
Key facts
- NPI
- 1669477295
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 17944 (GA)
- Practice address
- 492 Lower River Rd
Hawkinsville, GA 31036-6412 - Phone
- (478) 783-4549
- Fax
- (478) 783-4529
- NPI assigned
- Jun 20, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 1
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Careconnect Health Inc
Practice addresses (Care Compare)
510 Alston St
Suite B
Richland, GA 31825-6012
Phone (229) 887-3324
Hospital & facility affiliations
- Crisp Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Taylor Regional Hospital |
Hospital | Corporate Director | Jan 28, 2015 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180110000697 | GA | Practitioner - Family Practice | 8123399870 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017944 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Careconnect Health, Inc. | Current |
Accepting new patients | |
| Careconnect Health, Inc. | Current |
Accepting new patients | |
| Careconnect Health, Inc. | Past | Accepting new patients | |
| Taylor Regional Hospital | Past |
Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients | |
| Plains Medical Center, Inc, | Family Medicine | Past | Accepting new patients |
Locations (25 of 42)
603 E Lamar St
Americus, GA 31709
Phone (229) 928-3444
206 E Lamar St
Americus, GA 31709
Phone (229) 924-6648
609 E Lamar St
Americus, GA 31709
Phone (229) 924-8636
618 E Lamar St
Americus, GA 31709
Phone (229) 924-4808
205 Rees St
Americus, GA 31709
Phone (229) 928-4755
101 Mayo St
Ste A
Americus, GA 31709
Phone (229) 924-4647
317 E Washington Ave
Ashburn, GA 31714
Phone (229) 567-4414
80 W Main St
Butler, GA 31006
Phone (478) 862-5453
6005 Watson Blvd
Ste 100
Byron, GA 31008
Phone (478) 699-1028
6011 Watson Blvd
Ste 380
Byron, GA 31008
Phone (478) 304-3006
109 S 3rd St
Cochran, GA 31014
Phone (478) 934-4988
215 E 13th Ave
Cordele, GA 31015
Phone (229) 276-0100
711 E 16th Ave
Cordele, GA 31015
Phone (229) 271-9330
712 N 7th St
Cordele, GA 31015
Phone (229) 276-0052
110 E 13th Ave
Cordele, GA 31015
Phone (229) 273-0359
1007 E 16th Ave
Ste A
Cordele, GA 31015
Phone (229) 273-1716
412 E 4th Ave
Cordele, GA 31015
Phone (229) 273-1243
298 US Highway 520
Cusseta, GA 31805
Phone (706) 989-1050
125 McDonald Ave
Cuthbert, GA 39840
Phone (229) 732-3721
771 Roundtree Dr SW
#A
Dawson, GA 39842
Phone (229) 270-1905
817 Griffin Ave
Eastman, GA 31023
Phone (478) 374-1801
41 E Oglethorpe St
Ellaville, GA 31806
Phone (229) 937-2440
130 N Lee St
Forsyth, GA 31029
Phone (478) 974-6080
209 N Camellia Blvd
Fort Valley, GA 31030
Phone (478) 822-0054
23 Old School Rd
Georgetown, GA 39854
Phone (229) 334-9353
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 17944 | GA | Yes |
Addresses
Primary practice location
492 Lower River Rd
Hawkinsville, GA 31036-6412
Mailing address
PO Box 1237
492 Lower River Road
Hawkinsville, GA 31036-7237
Phone (478) 783-4549
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000089537B | Medicaid | GA |
Other providers in Hawkinsville, GA
- Pulaski County Health Department
- Pulaski State Prison Regional Pharmacy
- Alisha M Register
- Trayana Niema Releford
- Amanda Tanner Roberson
- Cynthia Rodgers
- Dlynn Danielle Rogers
- Julie J Sapp
- Amanda Selby
- Serenity Adult Day Health, Inc
All providers in Hawkinsville, GA · Family Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.