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

Jennifer Elaine Roberts, PA-C

Individual provider Medical Physician Assistant · NPI 1750168241

Jennifer Elaine Roberts, PA-C is a Physician Assistant in Canton, Georgia. Qualified in 2023, 3 years ago. Practices with Northside Surgical Professional Services LLC, a 368-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
3
Licensed in
GA
In the registry since
2023
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

470 Northside Cherokee Blvd Ste 230
Canton, GA 30115-8029
Phone: (770) 924-9656
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 450 Northside Cherokee Blvd, Canton, GA 30115-8015 — (770) 224-1000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11770 (GA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 11770 (GA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 11770 (GA)

Record details

NPI number1750168241
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 11, 2023
Last updated in NPPESSeptember 11, 2023
Certification dateSeptember 9, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Northside Surgical Professional Services Llc — 368 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Canton