Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Roger Peter Theodore, DPM

Individual provider Podiatrist · NPI 1154398402

Dr. Roger Peter Theodore, DPM is a Podiatrist in Macon, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

407 Barrington Pt
Macon, GA 31220-8754
Phone: (478) 390-2178
Fax: (478) 471-0104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 000753 (GA)

Record details

NPI number1154398402
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMarch 7, 2006
Last updated in NPPESAugust 22, 2024
Certification dateAugust 22, 2024
Mailing address841 Mulberry St, Macon, GA 31201

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