KATHERINE ROBERTSON (MD) – Internal Medicine Physician, NPI 1144578451

KATHERINE ROBERTSON (MD) is a healthcare provider. based in Macon, Georgia. specializing in NEUROLOGY. They hold the professional credentials MD. They hold a License No. 152334 (CA). The NPI Number for KATHERINE ROBERTSON (MD) is 1144578451

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE ROBERTSON (MD)
NPI
1144578451
Phone
(478) 301-2531
Address
1550 COLLEGE ST
Enumeration Date
16 August 2012
Last Update Date
26 February 2025

Doctor Profile

Medical School Name
MERCER UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9167403721
Graduation Year
2016 (10 years ago)
PAC ID
7012431349
Group Practice PAC ID
9830351824
Professional Enrollment ID
I20250408003446
Address ID
CA956614281RO3400XBLVD301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:13State licenses:1Digital endpointsOther names

689 NEUROLOGY in GA

Provider Addresses for KATHERINE ROBERTSON (MD)

  • 1550 COLLEGE ST

    MACON, GA 312071500

    Phone: (478) 301-2531

    Type: Mailing

  • 1550 College St

    Macon, GA 312071500

    Phone: (478) 301-2531

    Type: Location

  • 3400 DOUGLAS BLVD STE 170

    ROSEVILLE, CA 956614281

    Phone: (855) 446-8628

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-08

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250408003446INeurologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31207)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830351824View full group profile
NameSpecialtyState
Physician AssistantIL
Nurse PractitionerTX
E N D O C R I N O L O G YWA
N E U R O L O G YNY
Registered Dietitian Or Nutrition ProfessionalWA
Clinical Social WorkerNV
Physician AssistantOH
Neuropsychiatry, PsychiatryCA
N E U R O L O G YCA
Registered Dietitian Or Nutrition ProfessionalCA

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Frequently asked questions

Can I verify KATHERINE ROBERTSON (MD) with an NPI only?
You can start verification with NPI 1144578451 for KATHERINE ROBERTSON (MD), then check state licensing separately.
Can I rely on KATHERINE ROBERTSON (MD) being an active provider?
As of the registry snapshot, KATHERINE ROBERTSON (MD) is marked active.
What is KATHERINE ROBERTSON (MD)'s primary classification?
Internal Medicine Physician is the headline specialty for KATHERINE ROBERTSON (MD) here. Clinical services aligned with this taxonomy classification.
Where should I expect KATHERINE ROBERTSON (MD) on a map?
Expect Macon, Georgia as a primary anchor for KATHERINE ROBERTSON (MD) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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