DR. DAVID SAMUEL ROTH (NPI# 1801099783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801099783 |
| Entity Type | Individual |
| Full Name | DR. DAVID SAMUEL ROTH |
| Credential | M.D. |
| Practice Address |
1007 Mary St Waycross GA 31503-3823 |
| Practice Telephone | 9124497207 |
| Practice Fax Number | 9122842582 |
| Mailing Telephone | 9124497207 |
| Mailing Fax Number | 9122842582 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
054051 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538496690 | David A Roth | Internal Medicine | 412 Andrew Rd, Merion Station, PA 19066-1360 | 2009-11-11 |
| 1922036458 | David M Roth | Optometrist | 136 Ne 2nd Ave, Miami, FL 33132-2509 | 2006-06-30 |
| 1285685594 | David Christian Roth | Dentist | 2651 W 10400 S, Suite 103, South Jordan, UT 84095-8953 | 2006-05-12 |
| 1245289735 | David Julius Roth | Internal Medicine | 1462 Montreal Rd Ste 303, Tucker, GA 30084-6924 | 2006-05-10 |
| 1831197250 | David Erich Roth | Pediatrics | 3036 Diamond Head Rd., Honolulu, HI 96815 | 2005-07-09 |
| 1306322292 | David Milton Roth | Student in an Organized Health Care Education/Training Program | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2018-07-14 |
| 1447664230 | David Roth | Pathology | 3400 Spruce St, 6 Gates, Philadelphia, PA 19104-4238 | 2014-06-19 |
| 1942375548 | David A Roth | Internal Medicine | 330 Brookline Ave, Hem/onc, Shapiro 9th Floor, Boston, MA 02215-5400 | 2006-11-21 |
| 1598843161 | David R. Roth | Emergency Medicine | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2006-11-01 |
| 1477637437 | David R. Roth | Urology | 6701 Fannin St, 8th Floor, Houston, TX 77030-2316 | 2006-10-25 |
| Street Address |
1007 MARY ST |
| City | WAYCROSS |
| State | GA |
| Zip Code | 31503-3823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972649374 | Janett Carter | Social Worker | 1007 Mary St, Waycross, GA 31503-3823 | 2007-01-30 |
| 1417412917 | Jessica Kate Clark | Nurse Practitioner | 1007 Mary St, Waycross, GA 31503-3823 | 2019-02-08 |
| 1093299356 | Natasha Williams Herrin | Social Worker | 1007 Mary St, Waycross, GA 31503-3823 | 2018-09-21 |
| 1063996619 | Jonathon Michael Pryor | Counselor | 1007 Mary St, Waycross, GA 31503-3823 | 2018-09-19 |
| 1780188805 | Alisha Lester | Counselor | 1007 Mary St, Waycross, GA 31503-3823 | 2018-03-22 |
| 1487158507 | Sonda Sperzel | Counselor | 1007 Mary St, Waycross, GA 31503-3823 | 2018-03-22 |
| 1508375932 | Karen Manac | Social Worker | 1007 Mary St, Waycross, GA 31503-3823 | 2017-09-28 |
| 1487185492 | Donnel Cross Host Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1007 Mary St, Waycross, GA 31503-3823 | 2017-03-22 |
| 1780126185 | Willie Colquitt Host Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1007 Mary St, Waycross, GA 31503-3823 | 2016-11-16 |
| 1669922332 | Altomese Neloms Host Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1007 Mary St, Waycross, GA 31503-3823 | 2016-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770855868 | Bertha Richardsaon | Community/Behavioral Health | 1614 Carswell Ave, Waycross, GA 31503 | 2012-02-03 |
| 1134365893 | Carla Pye Winn | Nurse Practitioner | 1003 Mary St, Waycross, GA 31503 | 2008-12-31 |
| 1801051297 | Unison Behavioral Health | Substance Abuse Rehabilitation Facility | 3455 Harris Road, Waycross, GA 31503 | 2008-07-24 |
| 1073650115 | Unison Behavioral Health | Community/Behavioral Health | 1003 Mary Street, Waycross, GA 31503 | 2007-01-30 |
| 1588701635 | Unison Behavioral Health | Community/Behavioral Health | 2033 Bell Street, Waycross, GA 31503 | 2007-01-30 |
| 1801933957 | Unison Behavioral Health | Day Training, Developmentally Disabled Services | 3201 Harris Road, Waycross, GA 31503 | 2007-01-30 |
| 1902943046 | Unison Behavioral Health | Community/Behavioral Health | 310 Williams Street, Waycross, GA 31503 | 2007-01-30 |
| 1285770578 | Unison Behavioral Health | Community/Behavioral Health | 305 N Nicholls Street, Waycross, GA 31503 | 2007-01-30 |
| 1538223672 | Diversified Resources, Inc. | Case Manager/Care Coordinator | 147 Knight Ave Cir, Waycross, GA 31503 | 2006-12-21 |
| 1669578167 | James Gregory Morris | Dentist | 2458 Memorial Drive, Waycross, GA 31503 | 2006-09-15 |
| Find all providers in zip 31503 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093018806 | Paresh K Thanki, Md, LLC | Psychiatry & Neurology | 1707 Boulevard Sq Ste A, Waycross, GA 31501-8030 | 2010-12-16 |
| 1356381917 | John F Michaels Jr. | Psychiatry & Neurology | 1707 Boulevard Sq, Suite A, Waycross, GA 31501-8029 | 2006-06-08 |
| 1265788079 | Fady Henein | Psychiatry & Neurology | 1007 Mary St, Waycross, GA 31503 | 2012-07-30 |
| 1528313244 | Kavita Kothari | Psychiatry & Neurology | 1007 Mary St, Waycross, GA 31503-3823 | 2012-07-18 |
| 1447396890 | Lionel Bryan | Psychiatry & Neurology | 1007 Mary St, Waycross, GA 31503-3823 | 2007-01-30 |
| 1962433599 | Jaymal R Patel | Psychiatry & Neurology | 1900 Tebeau St, Waycross, GA 31501-6357 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164021390 | Psychemic | Psychiatry & Neurology | 125 Clairemont Ave Ste 205, Decatur, GA 30030-2558 | 2020-10-19 |
| 1962010975 | Beatrice Nduwimana | Psychiatry & Neurology | 3499 Henley St, Rex, GA 30273-1758 | 2020-07-15 |
| 1881219145 | Mandeep Singh | Psychiatry & Neurology | 1103 15th St, Augusta, GA 30901-3111 | 2020-06-12 |
| 1427673797 | Amanda Seamon | Psychiatry & Neurology | 997 Saint Sebastian Way # Eg2003, Augusta, GA 30912-2613 | 2020-06-12 |
| 1861016537 | Behavioral Health Professionals of Lagrange, LLC | Psychiatry & Neurology | 145 Maple Trce, Pine Mountain, GA 31822-2826 | 2020-05-29 |
| 1538796073 | Relax Medicine, LLC | Psychiatry & Neurology | 950 Herrington Rd Ste C215, Lawrenceville, GA 30044-7217 | 2020-03-25 |
| 1841826856 | Lakisha Denise Hunt | Psychiatry & Neurology | 1316 Montego Ct, Albany, GA 31705-8015 | 2020-03-21 |
| 1992330492 | Oluwafunmilola Olusola Sulaimon | Psychiatry & Neurology | 6274 Baltusrol Trce, Fairburn, GA 30213-5122 | 2020-03-05 |
| 1285264770 | Holistic Family Psychiatry | Psychiatry & Neurology | 1535 Mount Vernon Rd Ste 100-a, Atlanta, GA 30338-4149 | 2020-01-23 |
| 1255988978 | Life Health and Rehab, LLC | Psychiatry & Neurology | 1637 Athens Hwy Ste A, Grayson, GA 30017-1768 | 2019-08-19 |
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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.