Organization Active NPI

Catherine S. Roberts

Doing business as Catherine S. Roberts, M.D.

  • Internal Medicine Physician
  • Milledgeville, GA
National Provider Identifier
1982816104
Registry record updated Mar 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
045117 Issued in GA
Legal business name
CATHERINE S. ROBERTS
Doing business as
Catherine S. Roberts, M.D.
Practice address
641 W Thomas St
Milledgeville, GA 31061-2337
Phone
(478) 453-0662
Fax
(478) 452-8067
NPI assigned
May 3, 2007
Last updated
Mar 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2011

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

Authorized official

Name
Bobbie J Morgan, C.P.C.
Title
Practice Manager
Phone
(478) 453-0662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 045117 GA Primary

Addresses

Primary practice location

641 W Thomas St
Milledgeville, GA 31061-2337

Mailing address

641 W Thomas St
Milledgeville, GA 31061-2337
Phone (478) 453-0662

Other identifiers 3

IdentifierTypeStateIssuer
045117OtherGAGEORGIA MEDICAL LICENSE
52746974OtherGABCBS OF GA
00823347BMedicaidGA

Other names 1

  • Catherine S. Roberts, M.D. Doing business as

National Provider Directory

National Provider Directory

Locations

641 W Thomas St
Milledgeville, GA 31061
Phone (478) 452-6252

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300752000000",
    "number": "1982816104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 W THOMAS ST",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612337",
            "telephone_number": "478-453-0662",
            "fax_number": "478-452-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 W THOMAS ST",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612337",
            "telephone_number": "478-453-0662",
            "fax_number": "478-452-8067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHERINE S. ROBERTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2011-03-22",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "BOBBIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "478-453-0662",
        "authorized_official_credential": "C.P.C."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "045117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA MEDICAL LICENSE",
            "identifier": "045117",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF GA",
            "identifier": "52746974",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00823347B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Catherine S. Roberts, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milledgeville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; 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.