Individual provider Active NPI

Venita Teresa Roberson, FNP

  • Family Nurse Practitioner
  • Columbus, GA
National Provider Identifier
1972131324
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F02200648 Issued in GA
Practice address
6003 Veterans Pkwy Ste 100
Columbus, GA 31909-6284
Phone
(706) 223-1933
Fax
(706) 223-1934
NPI assigned
Mar 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F02200648 GA Primary

Addresses

Primary practice location

6003 Veterans Pkwy Ste 100
Columbus, GA 31909-6284

Mailing address

6003 Veterans Pkwy Ste 100
Columbus, GA 31909-6284
Phone (706) 223-1933

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL rivertownpsychiatry.com

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211006001981 GA Practitioner - Nurse Practitioner 3274931233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rivertown Psychiatry PCGroup PAC ID 1153575410, 27 clinicians

Practice addresses (Care Compare)

6003 Veterans Pkwy
Suite 100
Columbus, GA 31909-6284
Phone (706) 223-1933

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F02200648GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rivertown Psychiatry, PC CurrentSince Sep 1, 2021 Accepting new patients

Locations

1520 22nd St
Columbus, GA 31901
Phone (706) 223-1933

6003 Veterans Pkwy
Columbus, GA 31909
Phone (706) 222-1222

6003 Veterans Pkwy
Ste 100
Columbus, GA 31909
Phone (706) 223-1933

705 17th St
Ste 410
Columbus, GA 31901
Phone (706) 223-1933

5700 Veterans Pkwy
Columbus, GA 31904
Phone (706) 221-3222

1605 Vernon Rd
Ste 1500
Lagrange, GA 30240
Phone (706) 615-1691

Organizations & group practices 1

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": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1972131324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6003 VETERANS PKWY STE 100",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319096284",
            "telephone_number": "706-223-1933",
            "fax_number": "706-223-1934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6003 VETERANS PKWY STE 100",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319096284",
            "telephone_number": "706-223-1933",
            "fax_number": "706-223-1934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "VENITA",
        "middle_name": "TERESA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-31",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "F02200648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "rivertownpsychiatry.com",
            "affiliation": "N",
            "address_1": "6003 Veterans Pkwy Ste 100",
            "city": "Columbus",
            "state": "GA",
            "country_code": "US",
            "postal_code": "319096284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.