Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Daniel S Roberson, PA-C

Individual provider Surgical Physician Assistant · NPI 1780044610

Daniel S Roberson, PA-C is a Physician Assistant in Marietta, Georgia. Qualified in 2015, 11 years ago. Practices with Advanced Urology Institute of Georgia, a 56-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
11
Licensed in
GA
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1371 Church Street Ext NE Ste 200
Marietta, GA 30060-7913
Phone: (678) 344-8900
Fax: (678) 666-5201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 7920 (GA)

Record details

NPI number1780044610
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 4, 2016
Last updated in NPPESMay 24, 2024
Certification dateMay 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Advanced Urology Institute Of Georgia — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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