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

John William Roberts II

Individual provider Registered Nurse · NPI 1720595457

John William Roberts II is a Certified Registered Nurse Anesthetist (CRNA) in Tifton, Georgia. Qualified in 2017, 9 years ago. Practices with Coffee Regional Medical Center Inc, a 29-clinician group and accepts Medicare assignment. Licensed in Georgia and New Hampshire.

Years since qualifying
9
Licensed in
GA, NH
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

901 18th St E
Tifton, GA 31794-3648
Phone: (229) 382-7120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RN230702 (GA)
Registered Nurse Taxonomy 163W00000X · Licence RN230702 (GA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 090060-23 (NH)

Record details

NPI number1720595457
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 3, 2018
Last updated in NPPESJanuary 17, 2023
Certification dateJanuary 17, 2023
Mailing address420 Hansell Sears Rd, Douglas, GA 31535-5720

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Coffee Regional Medical Center Inc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Tifton