P Praxis·MD
● Active Type 1 · Individual

MRS. Beverly D. Roseberry, APRN

Nurse Practitioner·Conyers, GA· NPI 1801942552 · Enumerated 2007 · 19 years on NPI
Roseberry is 1 of 5 nurse practitioner providers in Conyers and 1 of 393 in Georgia.
NPI age
19 years
Enumerated 2007-01-26
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2009-07-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 393 active nurse practitioner providers in Georgia.

NPI age
19 years
↑ 8 yr above median (11 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
27% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-01Enumerated in NPPES
2007 2026

Where they practice

Practice location
1733 Lake Rockaway Rd Nw
Conyers, GA 300123152
📞 4047484123fax 8663409148
Mailing address
Po Box 4715, Atlanta
Atlanta, GA 303024715
📞 4047484123fax 8663409148

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN065472 taxonomy 363LW0102X

Identifiers

TypeValueNotes
05 (GA) 000735314C
01 000735314C PEACHSTATE HEALTH PLANS
01 (GA) 319492 WELLCARE
01 (GA) 10039885 AMERIGROUP

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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