DR. WILLIS REID JR. ROBERTS (M.D.) – Internal Medicine Physician, NPI 1689604449

DR. WILLIS REID JR. ROBERTS (M.D.) is a healthcare provider. based in Milledgeville, Georgia. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 045116 (GA). The NPI Number for DR. WILLIS REID JR. ROBERTS (M.D.) is 1689604449

Main info

Male
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. WILLIS REID JR. ROBERTS (M.D.)
NPI
1689604449
Phone
(478) 453-0662
Address
641 W Thomas St
Enumeration Date
4 July 2006
Last Update Date
23 July 2020

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
4784530662
Graduation Year
1996 (30 years ago)
PAC ID
7315129616
Group Practice PAC ID
9638076730
Professional Enrollment ID
I20110308000620
Address ID
GA310616448MI2803XSTXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,405 INTERNAL MEDICINE in GA

Provider Addresses for DR. WILLIS REID JR. ROBERTS (M.D.)

  • 641 W Thomas St

    Milledgeville, GA 310612337

    Phone: (478) 453-0662

    Fax: (478) 452-8067

    Type: Location

  • North Columbia Street, Milledgeville, Baldwin County, Georgia, 31061, United States

    MILLEDGEVILLE, GA 310616448

    Phone: (478) 453-0662

    Fax: (478) 452-8067

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $166.

Total Amount is formed as General ($166) + Research ($0) + Ownership ($0) = $166.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Novo Nordisk Inc ($69).

Total Amount

$166

General + Research + Ownership

Payments

8

Total payment records

General Amount

$166

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2011-03-08

PECOS data refreshed: 2026-05-27

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
I20110308000620IInternal MedicineGATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes618286$0
99213Established patient office or other outpatient visit, 20-29 minutes306204$0
36415Insertion of needle into vein for collection of blood sample8877$0
G0008Administration of influenza virus vaccine5959$0
90662Influenza vaccine split virus, preservative free5858$0
View full utilization report →

Insurance plans in this area (ZIP 31061)

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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: 9638076730View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineNC
Physician AssistantGA
-GA
Cardiac ElectrophysiologyFL
General SurgeryGA
-GA
Orthopedic SurgeryGA
Nurse PractitionerGA
Cardiovascular Disease (Cardiology), Internal MedicineGA
Physician AssistantGA

Reviews

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Frequently asked questions

What is the registry number for DR. WILLIS REID JR. ROBERTS (M.D.)?
The registry entry for DR. WILLIS REID JR. ROBERTS (M.D.) shows NPI 1689604449.
Does the public listing show DR. WILLIS REID JR. ROBERTS (M.D.) as active?
DR. WILLIS REID JR. ROBERTS (M.D.)'s NPI record reflects an active status in NPPES.
What type of care does DR. WILLIS REID JR. ROBERTS (M.D.) provide?
DR. WILLIS REID JR. ROBERTS (M.D.)'s profile centers on Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. WILLIS REID JR. ROBERTS (M.D.)?
DR. WILLIS REID JR. ROBERTS (M.D.) shows a connection to Milledgeville, Georgia in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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