Individual provider Active NPI

Steven Austin Roth, MD

  • Obstetrics & Gynecology Physician
  • Jesup, GA
National Provider Identifier
1942386727
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
87110 Issued in GA
Practice address
228 Memorial Dr
Jesup, GA 31545-0102
Phone
(912) 559-2432
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 87110 GA Primary
Obstetrics & Gynecology Physician 207V00000X MD445838 PA

Addresses

Primary practice location

228 Memorial Dr
Jesup, GA 31545-0102

Mailing address

228 Memorial Dr
Jesup, GA 31545-0102

Other practice location 1

3651 Wheeler Rd
Augusta, GA 30909-6426
Phone (803) 438-3800

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
I20210120002029 GA Practitioner - Obstetrics/Gynecology 6103850540 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
87110GAMDObstetrics & Gynecology Physician
MD445838PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cooperative Healthcare Services Inc Obstetrics & Gynecology CurrentSince Dec 6, 2022 Accepting new patients
Wayne SJC Medical Group, LLC CurrentSince Feb 15, 2021 Accepting new patients
Piedmont Specialty Hospital Billing LLC CurrentSince May 1, 2025 Accepting new patients
Wayne SJC Medical Group, LLC CurrentSince Feb 15, 2021 Accepting new patients
Piedmont Providers LLC CurrentSince Mar 11, 2024 Accepting new patients
University Health Services,Inc Past Accepting new patients

Locations

1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

333 W Carter Ave
Blackshear, GA 31516
Phone (912) 588-1020

2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079

228 Memorial Dr
Jesup, GA 31545
Phone (912) 530-6582

320 Peachtree St
Jesup, GA 31545
Phone (912) 521-8039

930 S 1st St
Jesup, GA 31545
Phone (912) 385-2702

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435

775 Poplar Rd
Ste 120
Newnan, GA 30265
Phone (770) 400-4510

2060 Dan Proctor Dr
Ste 1200
Saint Marys, GA 31558
Phone (912) 540-6750

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GDDICA

Organizations & group practices 7

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1942386727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 MEMORIAL DR",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 MEMORIAL DR",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450102",
            "telephone_number": "912-559-2432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3651 Wheeler Rd",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309096426",
            "country_code": "US",
            "telephone_number": "803-438-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTH",
        "first_name": "STEVEN",
        "middle_name": "AUSTIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "87110",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD445838",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jesup, GA

Sources for this page

Verify at the official NPI Registry.