Individual provider Active NPI

James Van Robertson, MD

  • Emergency Medicine Physician
  • Atlanta, GA
National Provider Identifier
1801985676
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
16544 Issued in GA
Practice address
1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone
(404) 605-3297
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 12

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 1

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

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Medical College of Georgia School of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southland Union Emergency Medical Services, LLC 26 clinicians

Practice addresses (Care Compare)

35 Hospital Rd
Blairsville, GA 30512-3139
Phone (706) 745-2111

Hospital & facility affiliations

  • Union General Hospital Hospital, Blairsville, GA, CCN 110051

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
I20040810000372 GA Practitioner - Emergency Medicine 1052383163 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16544GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Chatuge Emergency Medical Services, LLC Emergency Medicine CurrentSince Jul 1, 2017 Accepting new patients
Chatuge Regional Hospital Inc Current Accepting new patients
Union County Hospital Authority CurrentSince Dec 2, 2016 Accepting new patients
Union County Hospital Authority CurrentSince Dec 2, 2016 Accepting new patients
Southland Union Emergency Medical Services, LLC CurrentSince Jul 23, 2017 Accepting new patients
Chatuge Regional Hospital Inc CurrentSince Jul 16, 2018 Accepting new patients
Union General Affiliated Services, LLC CurrentSince Jul 16, 2018 Accepting new patients
Southland Emergency Medical Services Consolidated, LLC CurrentSince Dec 11, 2019 Accepting new patients
Fayette Community Hospital, Inc. Past Accepting new patients
Piedmont Hospital, Inc Past Accepting new patients
Wendy L Smith M.D. PC Past Accepting new patients
Chatuge Regional Hospital Inc Past Accepting new patients

Locations

35 Hospital Rd
Blairsville, GA 30512
Phone (706) 439-6812

145 E Peacock St
Cochran, GA 31014
Phone (229) 200-4950

110 S Main St
Hiawassee, GA 30546
Phone (706) 896-2222

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 16544 GA Primary

Addresses

Primary practice location

1968 Peachtree Rd NW
Atlanta, GA 30309-1281

Mailing address

PO Box 19599
Atlanta, GA 30325-0599
Phone (404) 605-3297

Other identifiers 1

IdentifierTypeStateIssuer
000071618PMedicaidGA

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1801985676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19599",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303250599",
            "telephone_number": "404-605-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1968 PEACHTREE RD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091281",
            "telephone_number": "404-605-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "JAMES",
        "middle_name": "VAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "16544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000071618P",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.