DANIEL S ROBERSON (PA-C) – Medical Physician Assistant, NPI 1780044610
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,463 PHYSICIAN ASSISTANT in GA
Provider Addresses for DANIEL S ROBERSON (PA-C)
204 N WESTOVER BLVD
ALBANY, GA 317072983
Phone: (229) 888-6559
Fax: (229) 436-4107
Type: Mailing
401 S MADISON ST
ALBANY, GA 317013111
Phone: (229) 405-6959
Fax: (229) 405-6975
Type: Location
1551 JANMAR RD
SNELLVILLE, GA 300785606
Phone: (470) 579-5600
Fax: (229) 436-4107
Type: Mailing
1371 CHURCH STREET EXT NE STE 200
MARIETTA, GA 300607913
Phone: (678) 344-8900
Fax: (678) 666-5201
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 63 Open Payments records for all available years, with a total value of $3,074.
Total Amount is formed as General ($3,074) + Research ($0) + Ownership ($0) = $3,074.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Teleflex LLC ($866).
Total Amount
$3,074
General + Research + Ownership
Payments
63
Total payment records
General Amount
$3,074
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teleflex LLC | $866 |
| AstraZeneca Pharmaceuticals LP | $435 |
| Sumitomo Pharma America, Inc. | $206 |
| Novo Nordisk Inc | $188 |
| Medtronic, Inc. | $182 |
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: 2016-03-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160318002117 | I | Physician Assistant | GA | TBD |
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.
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 31707)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| Certified Registered Nurse Anesthetist (Crna) | IN | |
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| - | GA | |
| Certified Registered Nurse Anesthetist (Crna) | GA | |
| Physician Assistant | GA | |
| Physician Assistant | GA |
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