Miriam A Roper, CADC-1

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1346 Issued in GA

Practice address

20 Commerce Dr
Blairsville, GA 30512-8913

Phone

(706) 781-6987

Fax

(706) 781-3026

NPI assigned

Dec 22, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Medmark Treatment Centers of Georgia, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Blairsville, GA
  • NPI 1316186968
  NPD (past)

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1861089161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 COMMERCE DR",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305128913",
            "telephone_number": "706-781-6987",
            "fax_number": "706-781-3026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 COMMERCE DR",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305128913",
            "telephone_number": "706-781-6987",
            "fax_number": "706-781-3026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROPER",
        "first_name": "MIRIAM",
        "middle_name": "A",
        "credential": "CADC-1",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "1346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316186968",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Blairsville",
            "affiliation": "N",
            "endpointDescription": "Medicaid",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "20 Commerce Dr",
            "city": "Blairsville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305128913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brianna Jill Robinson, M.A.
• Jesse Caleb Rockmore, DO
• Timothea Roberta Rogers
• Robert C Rollings, MD
• Ronnie L. Dyer, D.M.D., P.C.
• Steven Michael Rouse, PA-C
• Tiffany M Rouse, PA-C
• Cristina Royce
• Brandi Celeste Rutan, LCSW
• Michael B Sabom, M.D.

• Addiction (Substance Use Disorder) Counselor in Blairsville, GA
• Providers in Blairsville, GA by specialty
• Addiction (Substance Use Disorder) Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.