Shirley Roberts, MAC-CAC III

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

31939 Issued in GA

Practice address

406 Branch Rd
Albany, GA 31705-5301

Phone

(229) 395-5480

NPI assigned

Feb 19, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1972069581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 BRANCH RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317055301",
            "telephone_number": "229-395-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 BRANCH RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317055301",
            "telephone_number": "229-395-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "SHIRLEY",
        "credential": "MAC-CAC III",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-19",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "31939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert B. Moss, Jr., P.C.
• Robert V. Glover, Jr., M.D., P.C.
• Amanda Roberts
• Danice B Roberts, MD
• Phillip Roberts, MD
• Valerie Roberts, PMHNP
• Barbara M Robinson, PHARMD
• Dawn R Robinson, B.S.W., M.S.ED.
• Dennis Allen Robinson, MD
• Pertha Robinson Jr., PP

• Addiction (Substance Use Disorder) Counselor in Albany, GA
• Providers in Albany, 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 Feb 19, 2019; 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.