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

Mrs. Ellen H Roberts IV

Individual provider Contractor · NPI 1134155310

Mrs. Ellen H Roberts IV is a Contractor in Jefferson, Georgia. Registered with an NPI since 2006.

In the registry since
2006
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Practice location Address checks out

3072 Old Pendergrass Rd
Jefferson, GA 30549-7508
Phone: (706) 367-4377
Fax: (706) 367-4377
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X

Record details

NPI number1134155310
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 23, 2006
Last updated in NPPESJuly 9, 2007