JOSEPH MARTIN ROBERTS DO
NPI 1396372496
Pediatrics in Gainesville, GA
NPI Status: Active since March 26, 2020
Contact Information
743 SPRING ST NE
GAINESVILLE, GA
ZIP 30501
Phone: (770) 535-3611
Fax: (770) 535-7092
- Individual
- Male
- Pediatrics
- Accepts Insurance
- PECOS Enrolled
About JOSEPH ROBERTS
This page provides the complete NPI Profile along with additional information for Joseph Roberts, a pediatrician established in Gainesville, Georgia with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1396372496 assigned on March 2020. The practitioner's primary taxonomy code is 208000000X with license number 96416 (GA). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1396372496
- Provider Name
- JOSEPH MARTIN ROBERTS DO
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 743 SPRING ST NE GAINESVILLE, GA 30501
- Location Phone
- (770) 535-3611
- Location Fax
- (770) 535-7092
- Mailing Address
- PO BOX 658 GAINESVILLE, GA 30503
- Mailing Phone
- (770) 533-6511
- Mailing Fax
- (770) 535-7092
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-26-2020
- Last Update Date
- 08-24-2023
- Code Navigator
A pediatrician like Joseph Roberts is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Secondary Locations
- 777 Hemlock Street Ln # 42
Macon, GA 31201
(478) 633-7500 - 1400 River Place
Braselton, GA 30517
(770) 535-3611 - 1717 Kennedy Pond Rd
Statesboro, GA 30458
(770) 316-1728
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 96416
- License State
- GA
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- SoloCare Bronze EPO HDHP 8050 10004 - EPO
- SoloCare Exp Bronze EPO 7200 - $0 Generic Rx 10015 - EPO
- SoloCare Gold EPO 2300 - 3 Free PCP Visits, $5 Generic Rx 10010 - EPO
- SoloCare Silver EPO 6000/60 - 3 Free PCP Visits 10014 - EPO
- SoloCare Silver EPO 7000 - 3 Free PCP Visits, $5 Generic Rx 10013 - EPO
- SoloCare Standard Exp Bronze EPO 10008 - EPO
- SoloCare Standard Gold EPO 10006 - EPO
- SoloCare Standard Platinum EPO 10005 - EPO
- SoloCare Standard Silver EPO 10007 - EPO
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Clear Silver with $0 Insulin Options - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Gold with Atrium Health - HMO
- Complete Gold with Atrium Health + Vision + Adult Dental - HMO
- Complete Silver with Atrium Health - HMO
- Complete Silver with Atrium Health + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Bronze with Atrium Health - HMO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 003239914D | MEDICAID (05) | GA | |
| 003239914E | MEDICAID (05) | GA | |
| G39299A | OTHER (01) | GA | MEDICARE |
Medicare Participation & PECOS Enrollment Status
Joseph Roberts is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 30501 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $83.23
- Minimum New Patient Price $53.31
- Maximum New Patient Price $164.04
- Average New Patient Copayment $20.8
- Minimum New Patient Copayment $13.32
- Maximum New Patient Copayment $41.01
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $94.84
- Minimum Established Patient Price $16.68
- Maximum Established Patient Price $133.24
- Average Established Patient Copayment $23.71
- Minimum Established Patient Copayment $4.17
- Maximum Established Patient Copayment $33.31
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 9 | 6 | 3 | 7 | 2 | 4 | 9 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 18 | 6 | 6 | 7 | 4 | 4 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 8 + 6 + 6 + 7 + 4 + 4 + 1 + 8 + 24 = 74 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 74 = 6 | 6 | ||||||||
The NPI number 1396372496 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1881673796 | DR. GONZALO VILLALOBOS MD Individual | Emergency Medicine | 743 SPRING ST NE GAINESVILLE, GA 30501 (770) 536-2146 |
| 1538139670 | LISA RENEE JUE M.D. Individual | Hospitalist | 743 SPRING ST NE GAINESVILLE, GA 30501 (770) 533-6645 |
| 1528038122 | JENNIFER H. WILLIAMS M.D. Individual | Pediatrics (Neonatal-Perinatal Medicine) | 743 SPRING ST NE GAINESVILLE, GA 30501 (770) 533-6645 |
| 1316910359 | DR. PRESTON BALL MD Individual | Emergency Medicine | 743 SPRING ST NE GAINESVILLE, GA 30501 (770) 536-2146 |
| 1942273990 | DR. DONALD FREEMAN MD Individual | Emergency Medicine | 743 SPRING ST NE GAINESVILLE, GA 30501 (770) 536-2146 |
| 1013980069 | DR. PHILIPPE GADEGBEKU MD Individual | Emergency Medicine | 743 SPRING ST NE GAINESVILLE, GA 30501 (770) 536-2146 |
| 1184697146 | DR. ROBERT GISNESS MD Individual | Emergency Medicine | 743 SPRING ST NE GAINESVILLE, GA 30501 (770) 536-2146 |
| 1265405229 | DR. FRANKLIN DOUGLAS HARKRIDER MD Individual | Emergency Medicine | 743 SPRING ST NE GAINESVILLE, GA 30501 (770) 536-2146 |
| 1992778591 | DR. SHERRY BROCK MD Individual | Emergency Medicine | 743 SPRING ST NE GAINESVILLE, GA 30501 (770) 536-2146 |
| 1558338483 | DR. HEIDI T NICHOLSON MD Individual | Emergency Medicine | 743 SPRING ST NE GAINESVILLE, GA 30501 (770) 536-2146 |
| 1386610202 | TODD JORDAN MD Individual | Emergency Medicine | 743 SPRING ST NE GAINESVILLE, GA 30501 (770) 536-2146 |
| 1043286966 | DR. GEORGE HOULDITCH MD Individual | Emergency Medicine | 743 SPRING ST NE GAINESVILLE, GA 30501 (770) 536-2146 |
| 1093781924 | DR. GARY KEMPLER MD Individual | Emergency Medicine | 743 SPRING ST NE GAINESVILLE, GA 30501 (770) 536-2146 |
| 1518933449 | DR. PAUL MERLIS MD Individual | Emergency Medicine | 743 SPRING ST NE GAINESVILLE, GA 30501 (770) 536-2146 |
| 1962479782 | DR. DAVID I LUBIN MD Individual | Emergency Medicine | 743 SPRING ST NE GAINESVILLE, GA 30501 (770) 536-2146 |
| 1326098856 | DR. MICHAEL IRA APPEL M.D. Individual | Anesthesiology | 743 SPRING ST NE GAINESVILLE, GA 30501 (770) 532-7179 |
| 1356392856 | DR. NANCY CHEN M.D. Individual | Anesthesiology | 743 SPRING ST NE GAINESVILLE, GA 30501 (770) 532-7179 |
| 1801848551 | SANDRA D PARSONS AAC Individual | Anesthesiologist Assistant | 743 SPRING ST NE GAINESVILLE, GA 30501 (770) 534-1312 |
| 1366495343 | JASON PAUL LAURY AAC Individual | Anesthesiologist Assistant | 743 SPRING ST NE GAINESVILLE, GA 30501 (770) 532-7179 |
| 1598718405 | MATTHEW J RAGSDALE AAC Individual | Anesthesiologist Assistant | 743 SPRING ST NE GAINESVILLE, GA 30501 (770) 532-7179 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396372496, enumerated in the NPI registry as an "individual" on March 26, 2020
The provider is located at 743 Spring St Ne Gainesville, Ga 30501 and the phone number is (770) 535-3611
The provider's speciality is Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $83.23 with an average copayment of $20.8 for new patient appointments. Established patients should expect a typical charge of $94.84 and an average copayment of 23.71. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on March 26, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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