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WILLIS REID ROBERTS JR. NPI 1720290869


NPI Information

NPI: 1720290869
Provider Name: WILLIS REID ROBERTS, JR.

Doing Business As: W. REID ROBERTS, JR., M.D.

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
641 W THOMAS ST
MILLEDGEVILLE, GA
ZIP 31061
Phone: (478) 453-0662
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WILLIS REID ROBERTS, JR. is an internal medicine in Milledgeville, GA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. WILLIS REID ROBERTS, JR. NPI is 1720290869. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As W. Reid Roberts, Jr., M.d..

The provider's business location address is:

641 W THOMAS ST
MILLEDGEVILLE, GA
ZIP 31061-337
Phone: (478) 453-0662
Fax: (478) 452-8067

The provider's authorized official is Bobbie J Morgan .
The authorized official title is Practice Manager and has the following contact phone number (478) 453-0662.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 3/22/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine045116GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
111BDRXPMEDICARE ID-TYPE UNSPECIFIEDGEORGIA
252702166OTHERGEORGIABCBS OF GA
3=========31061OTHERGEORGIACHAMPUS TRICARE TRICALIFE
4=========OTHERGEORGIATIN
5GRP4142MEDICARE ID-TYPE UNSPECIFIEDGEORGIAGROUP MEDICARE NUMBER
600826999BMEDICAIDGEORGIA
7=========OTHERGEORGIACOMMERICAL INSURANCES
8110208084MEDICARE ID-TYPE UNSPECIFIEDGEORGIARAILROAD MEDICARE
9045116OTHERGEORGIAGEORGIA MEDICAL LICENSE
10G98520MEDICARE UPINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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