NPI age
13 years
Enumerated 2012-08-30
● Active
Type 1 · Individual
MR. Gary Robertson, I.D.C
Robertson is 1 of 2 physician assistant providers in Kings Bay and 1 of 1333 in Georgia.
Primary specialty
Physician Assistant
Licensed in
CT
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-03-31
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1333 active physician assistant providers in Georgia.
NPI age
13 years
↓ 2 yr below median (15 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties
NPI lifetime · 2012 → 2026
2012-08Enumerated in NPPES
2012
2026
Where they practice
Practice location
1059 Uss Mariano Villejo Ave
Kings Bay, GA 31547
Mailing address
1059 Uss Mariano Villejo Ave
Kings Bay, GA 31547
Specialties
-
Physician Assistant PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (FL) | 1132 | US NAVY |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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