JOHNATHAN CHARLES ROBERTS (NPI# 1669997276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669997276 |
| Entity Type | Individual |
| Full Name | JOHNATHAN CHARLES ROBERTS |
| Practice Address |
2855 Julias Way Nw Marietta GA 30064-6219 |
| Mailing Address |
Po Box 986 Acworth GA 30101-0986 |
| Practice Telephone | 7702180776 |
| Practice Fax Number | 3039224640 |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2017-08-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225500000X | Specialist/Technologist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275146763 | Johnathan Roberts | Case Manager/Care Coordinator | 344 E 100 S, Salt Lake City, UT 84111-1700 | 2020-08-25 |
| 1396041000 | Johnathan Christopher Roberts I | Community Health Worker | 5301 Sw 7th St, Topeka, KS 66606-2371 | 2011-01-28 |
| Street Address |
2855 JULIAS WAY NW |
| City | MARIETTA |
| State | GA |
| Zip Code | 30064-6219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881928646 | Neurodiagnostic Consultants, LLC | Specialist/Technologist, Other | 2855 Julias Way Nw, Marietta, GA 30064-6219 | 2009-09-28 |
| 1518598945 | Cameron Christopher Adam Smothers | Psychiatry & Neurology | 2855 Julias Way Nw, Marietta, GA 30064-6219 | 2020-02-04 |
| 1235796319 | Brian Joseph Wilehlm | Clinical Neuropsychologist | 2855 Julias Way Nw, Marietta, GA 30064-6219 | 2019-05-23 |
| 1023566007 | Benton Stoutamire | Specialist/Technologist, Other | 2855 Julias Way Nw, Marietta, GA 30064-6219 | 2016-09-19 |
| 1891150611 | Philip Smothers | Specialist/Technologist, Other | 2855 Julias Way Nw, Marietta, GA 30064-6219 | 2015-12-21 |
| 1558726372 | Timothy Sharpe | Specialist/Technologist, Other | 2855 Julias Way Nw, Marietta, GA 30064-6219 | 2015-12-21 |
| 1497110316 | Tommy Zaino | Specialist/Technologist, Other | 2855 Julias Way Nw, Marietta, GA 30064-6219 | 2015-12-18 |
| 1790140853 | Debra Smothers | Specialist/Technologist, Other | 2855 Julias Way Nw, Marietta, GA 30064-6219 | 2015-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833304 | Chelsey Lewis | Pharmacist | 660 Whitlock Ave Sw, Marietta, GA 30064 | 2020-05-21 |
| 1316428527 | Candice Murray | Nurse Practitioner | 2727 Wynford Ave Sw, Marietta, GA 30064 | 2018-08-25 |
| 1427539741 | Emily Dorsey Drew | Nurse Practitioner | 3911 Mary Eliza Trce Nw Ste 200, Marietta, GA 30064 | 2018-08-24 |
| 1649765017 | Julie K Berger | Counselor | 336 Powder Springs St Suite 206, Marietta, GA 30064 | 2018-06-27 |
| 1689175291 | Anthony Bammer | Clinical Exercise Physiologist | 1001 Whitlock Avenue Nw, Marietta, GA 30064 | 2018-02-28 |
| 1831600725 | Dyniecia Barnes | Specialist | 2575 White Haven Dr Sw, Ste 100 / Salon 121, Marietta, GA 30064 | 2017-10-18 |
| 1588173298 | Michelle Ann Stich | Assistant Behavior Analyst | 376 Powder Springs St Ste 130, Marietta, GA 30064 | 2017-09-26 |
| 1194241976 | Namasine Lolice Dalrymple | Counselor | 1708 Peachtree St, Suite 300, Atlanta, GA 30064 | 2017-08-14 |
| 1245760859 | Michael H Mulkey, Dmd PC | Dentist | 3951 Mary Eliza Trace Nw, Suite 200, Marietta, GA 30064 | 2017-06-15 |
| 1700310893 | West Cobb Dentist Office, PC | Dentist | 3805 Dallas Hwy Sw, Suite 804, Marietta, GA 30064 | 2017-04-14 |
| Find all providers in zip 30064 | ||||
| Taxonomy Code | 225500000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376154229 | Graced Hands Surgical Assisting | Specialist/Technologist | 1320 Cimarron Pkwy, Atlanta, GA 30350-6857 | 2020-08-13 |
| 1225553779 | Ashley Gilbreth | Specialist/Technologist | 345 Charlyne Way, Dacula, GA 30019-2381 | 2017-08-06 |
| 1548670045 | Jeannie Henderson | Specialist/Technologist | 320 Pendleton St, Waycross, GA 31501-3731 | 2014-05-06 |
| 1700159209 | Neuro-assistive Educational Solutions | Specialist/Technologist | 4737 S Seminole Dr, Douglasville, GA 30135-4641 | 2012-02-14 |
| 1689847758 | Vicki Renee' Lucas-welborn | Specialist/Technologist | 215 Leyden St, Decatur, GA 30030-3521 | 2008-04-09 |
| 1922533710 | Nikki Fisher | Specialist/Technologist | 105 Habersham Dr, Suite A, Fayetteville, GA 30214-7341 | 2017-04-29 |
| 1114134988 | Megan L Morris | Specialist/Technologist | 2109 N Patterson St, Ste A, Valdosta, GA 31602-2946 | 2007-05-17 |
| 1346392339 | Lung Care Specialists PC | Specialist/Technologist | 1265 Highway 54 W, Suite 500d, Fayetteville, GA 30214-4548 | 2007-01-18 |
| 1619940921 | Joshua Aaron Slatky | Specialist/Technologist | 400 Timms Rd Ne, Calhoun, GA 30701-7016 | 2006-02-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.