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

William Devon Roots, CSFA0CST

Individual provider Surgical Physician Assistant · NPI 1700690948

William Devon Roots, CSFA0CST is a Surgical Physician Assistant in Stockbridge, Georgia. Works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2025

Practice location Address checks out

1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Phone: (678) 604-1000
Show map & directions

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

Additional practice locations (1)

  • 1412 Milstead Ave Ne, Conyers, GA 30012-3877 — (770) 918-3000

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 200854 (GA)

Record details

NPI number1700690948
Entity typeIndividual (Type 1)
GenderMale
Credentials CSFA0CST
Sole proprietorNo
NPI enumeratedFebruary 6, 2025
Last updated in NPPESFebruary 6, 2025
Certification dateFebruary 6, 2025
Mailing address2101 Autumn Chase Dr, Stockbridge, GA 30281-9204

Other providers in Stockbridge