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

Mr. Nathan Kelly Roberson, NP-C

Individual provider Nurse Practitioner · NPI 1023532280

Mr. Nathan Kelly Roberson, NP-C is a Nurse Practitioner in Valdosta, Georgia. Qualified in 2017, 9 years ago. Practices with Sgmc Physician Network Inc, a 127-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
9
Licensed in
GA
In the registry since
2017
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

4340 Kings Way
Valdosta, GA 31602-6921
Phone: (229) 333-9736
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 207 31st Ave Se, Moultrie, GA 31768-6703 — (229) 333-9736
  • 202 S Madison St, Thomasville, GA 31792-5479 — (229) 333-9736
  • 1430 Us Highway 82 W, Tifton, GA 31793-8011 — (229) 333-0225

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN214086 (GA)

Record details

NPI number1023532280
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-C
Sole proprietorNo
NPI enumeratedJuly 31, 2017
Last updated in NPPESJuly 30, 2021
Certification dateJuly 30, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Sgmc Physician Network Inc — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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