NPI age
20 years
Enumerated 2005-09-09
● Active
Type 1 · Individual
Jacquelyn Elaine Roberts, ARNP
Roberts is 1 of 2 nurse practitioner providers in Moultrie and 1 of 107 in Georgia.
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
Not specified
May be part of a larger org
How this provider compares
Across 107 active nurse practitioner providers in Georgia.
NPI age
20 years
↑ 7 yr above median (13 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
25% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-09Enumerated in NPPES
2005
2026
Where they practice
Practice location
115 31st Ave Se
Moultrie, GA 317686771
Mailing address
115 31st Ave Se
Moultrie, GA 317686771
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00829617C |
Practice context
Part of a multi-provider practice. 9 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.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.