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

Robert Michael Licata, MD

Individual provider Pediatrics Physician · NPI 1326006552

Robert Michael Licata, MD is a Pediatrics Physician in Marietta, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2863 Johnson Ferry Rd Ste 100
Marietta, GA 30062-8363
Phone: (770) 993-2922
Fax: (770) 552-1674
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Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 025457 (GA)

Record details

NPI number1326006552
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 4, 2006
Last updated in NPPESApril 29, 2026
Certification dateApril 29, 2026
Mailing address2863 Johnson Ferry Rd Ste 100, Marietta, GA 30062-8363

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